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 is a Family Medicine Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

2780 Middle Country Rd Ste 305
Lake Grove, NY 11755
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

Other providers in Lake Grove