Port Interventional Radiology PC
NPI 1164434924ActiveOrganization· Radiology, Diagnostic Radiology· Port Jefferson, NY
Radiology, Diagnostic Radiology in Port Jefferson, New York, registered in NPPES in August 2006. The authorized official on file is Edward H. Glenn, MD, President.
Overview
| NPI | 1164434924 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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