Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Shore Regional MRI PC

Organization Family Medicine Physician · NPI 1568456747

North Shore Regional MRI PC provides Family Medicine Physician services in Lake Grove, New York. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2780 Middle Country Rd Ste 305
Lake Grove, NY 11755 Not confirmed with CMS for 11 years — call before visiting
Phone: (631) 689-5252
Fax: (631) 689-5934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Family Medicine Physician Taxonomy 207Q00000X
Allergy & Immunology (Internal Medicine) Physician Taxonomy 207RA0201X

Record details

NPI number1568456747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roberto Antonacci — President · (631) 588-4500
NPI enumeratedSeptember 2, 2005
Last updated in NPPESOctober 7, 2014
Mailing address2780 Middle Country Road, Suite 305, Lake Grove, NY 11755

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