Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kimberly D. Zedalis

Radiology Practitioner Assistant in Lake Grove, NY · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124276282

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Registry record

Entity type Individual (Type 1)

Name Kimberly D. Zedalis

Sex Female

Practice address 2780 Middle Country Rd, Ste 210, Lake Grove, NY, 11755

Phone (631) 588-4500

Fax (631) 588-4595

Enumeration date Sep 3, 2008

Last updated in NPPES Oct 1, 2008

Taxonomy & licenses

247100000X Radiologic Technologist Technologists, Technicians & Other Technical Service Providers · License 956080 (NY) Secondary

2471M2300X Mammography Radiologic Technologist Technologists, Technicians & Other Technical Service Providers · License 956080 (NY) Secondary

243U00000X Radiology Practitioner Assistant Technologists, Technicians & Other Technical Service Providers · License 000142 (NY) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kimberly Zedalis?

The National Provider Identifier (NPI) for Kimberly Zedalis is 1124276282, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kimberly Zedalis practice?

The practice location on file with NPPES is in Lake Grove, NY. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-01.