CMS-1500 Box 24J / 33a • NPI
1154510261
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
335V00000X (CMS 63)
Licensed & Credentialed Suppliers — Portable X-Ray Supplier
Box 32 Service Location & ZIP+4
11 NEWBROOK LN, EAST NORTHPORT, NY, 11731-5230
✓ 9-Digit EDI 837 ZIP+4 (11731-5230)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1154510261 (ADVANCED DIGITAL DIAGNOSTICS, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1154510261 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED DIGITAL DIAGNOSTICS, LLC |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Portable X-Ray Supplier NUCC Code: 335V00000X (Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 11 NEWBROOK LN, EAST NORTHPORT, NY, 11731-5230 |
| Practice Telephone / Fax | Tel: (631) 838-8309 | Fax: (631) 910-0333 |
| Administrative Mailing Address | 169 COMMACK RD STE H350, COMMACK, NY, 11725-3442 |
| Enumeration & Last Sync | Enumerated: 2007-10-15 | CMS Record Updated: 2026-05-18 |
| Authorized Official | STEVEN ISAACS (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (335V00000X)
What Does Taxonomy Code 335V00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 335V00000X translates to:
"Licensed & Credentialed Suppliers — Portable X-Ray Supplier"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED DIGITAL DIAGNOSTICS, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
335V00000X — Portable X-Ray and/or Other Portable Diagnostic Imaging SupplierPlain English: Licensed & Credentialed Suppliers — Portable X-Ray Supplier | State: NY | License: H98 1269403 76 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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