EASTERN PORTABLE X-RAY CORP NPI 1871524975

NPI Information

  • NPI: 1871524975
  • Provider Name: EASTERN PORTABLE X-RAY CORP
  • Classification: Radiologic Technologist - 2471C3402X
  • Specialization: Radiography
  • Entity Type: Organization
  • Address: 20 PEACHTREE CT STE 103D
    HOLBROOK, NY
    ZIP 11741
  • Phone: (631) 563-7777

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NPI Details

EASTERN PORTABLE X-RAY CORP is a radiography radiologic technologist in Holbrook, NY. The provider is a radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care. EASTERN PORTABLE X-RAY CORP NPI is 1871524975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 PEACHTREE CT STE 103D
HOLBROOK, NY
ZIP 11741-616
Phone: (631) 563-7777
Fax: (631) 563-1078

The provider's authorized official is Steven Merced .
The authorized official title is President and has the following contact phone number (631) 563-7777.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Set-up portable x-ray equipment (HCPCS:Q0092)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen (HCPCS:R0070)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen (HCPCS:R0075)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • X-ray of collar bone (HCPCS:73000)
  • X-ray of face bones, 1-2 views (HCPCS:70140)
  • X-ray of ribs on both sides of body, minimum of 4 views (HCPCS:71111)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of shoulder blade (HCPCS:73010)
  • X-ray of ribs on both sides of body, 3 views (HCPCS:71110)

The enumeration date for this NPI number is 7/6/2006 and was last updated on 4/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12471C3402XRadiologic TechnologistRadiography51019365NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101901977MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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