NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Port Interventional Radiology PC

Diagnostic Radiology Physician in Port Jefferson, NY · enumerated 2006 · authorized official Edward Glenn, President.

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

National Provider Identifier

1164434924

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Port Interventional Radiology PC
Practice address 75 North Country Road, Port Jefferson, NY, 11777
Phone (631) 476-2757
Fax (631) 473-0132
Enumeration date Aug 12, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Edward Glenn
Title President
Phone (631) 476-2754

Other identifiers

Identifier Type State Issuer
01643636 Medicaid NY -

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Port Interventional Radiology PC?
The NPI for Port Interventional Radiology PC is 1164434924, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Port Interventional Radiology PC?
NPPES lists Edward Glenn (President) as the authorized official for this organization.

Providers at this address

Browse all →
Professional Radiology PC Diagnostic Radiology Physician · Port Jefferson, NY NPI 1619989464 Jennifer Condlin Family Nurse Practitioner · Portjefferson, NY NPI 1720360340 Kirolos Ibrahim Ophthalmology Physician · Port Jefferson, NY NPI 1700318821 Abdullah Ali Student in an Organized Health Care Education/Training Program · Port Jefferson, NY NPI 1285321687 Farhad Mohammad Amjad Student in an Organized Health Care Education/Training Program · Port Jefferson, NY NPI 1164282455 Manal Syeda Student in an Organized Health Care Education/Training Program · Port Jefferson, NY NPI 1659121135 Omar Al-Gailani Student in an Organized Health Care Education/Training Program · Port Jefferson, NY NPI 1972351336 Muhammad Haseeb Waseem Student in an Organized Health Care Education/Training Program · Port Jefferson, NY NPI 1356136220

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.