PENNSVILLE RADIOLOGY INC. (NPI# 1104978105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104978105 |
| Entity Type | Organization |
| Organization Name | PENNSVILLE RADIOLOGY INC. |
| Practice Address |
248 S Broadway Pennsville NJ 08070-2724 |
| Practice Telephone | 8566788118 |
| Practice Fax Number | 8566788130 |
| Mailing Telephone | 8566788118 |
| Mailing Fax Number | 8566788130 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2010-10-21 |
| Authorized Official Name | DR. VALENTIN L FAGEL (OWNER RADIOLOGIST) |
| Authorized Official Telephone | 8566788118 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3184501 | 05 |
| Street Address |
248 S BROADWAY |
| City | PENNSVILLE |
| State | NJ |
| Zip Code | 08070-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174588172 | Pennsville Medical Imaging | Radiology | 248 S Broadway, Pennsville, NJ 08070-2724 | 2006-04-20 |
| 1053411058 | Valentin L Fagel | Radiology | 248 S Broadway, Pennsville, NJ 08070 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843500 | Community Dental of Salem, P.C. | Dentist | 709 South Broadway, Pennsville, NJ 08070 | 2018-06-05 |
| 1962851378 | Optimal Health Solutions | Durable Medical Equipment & Medical Supplies | 390 N Broadway Ste 1400, Pennsville, NJ 08070 | 2016-06-07 |
| 1114120805 | Charles Arthur Evans | Dentist | 7 Benson Avenue, Pennsville, NJ 08070 | 2007-06-08 |
| 1346460516 | Guy Carrere Woodruff | Psychologist | 6 Humphreys Ave, Pennsville, NJ 08070 | 2007-04-27 |
| 1780700393 | Assisted Living Concepts Inc | Assisted Living Facility | 39 Supawna Road, Pennsville, NJ 08070 | 2007-03-22 |
| 1972655017 | Jerry J Popeck | Dentist | 133 North Broadway, Suite B, Pennsville, NJ 08070 | 2007-01-17 |
| 1548337330 | Ivan Mark Nadler | Chiropractor | 133c North Broadway, Pennsville, NJ 08070 | 2006-11-29 |
| 1841208873 | Joseph T Gallagher | Physical Therapist | 390n Broadway, Ste 400 Heartland Rehabilitation Service of Nj Inc, Pennsville, NJ 08070 | 2006-08-04 |
| 1801803051 | Cooper Primary Care At Pennsville, Pa | Internal Medicine | 390 North Broad Street, Concord Professional Building, Ste 100, Pennsville, NJ 08070 | 2006-08-01 |
| 1508883695 | Marcellus A Maiatico | Physical Medicine & Rehabilitation | 270 South Broadway, Pennsville, NJ 08070 | 2006-07-16 |
| Find all providers in zip 08070 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053411058 | Valentin L Fagel | Radiology | 248 S Broadway, Pennsville, NJ 08070 | 2006-09-22 |
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|---|---|---|---|---|
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| 1225678352 | Jefferson University Radiology Associates, LLC | Radiology | 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 | 2020-01-07 |
| 1982240248 | Edison Medical Imaging | Radiology | 1907 Oak Tree Rd Ste 101, Edison, NJ 08820-2070 | 2019-11-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1891269254 | Middletown Radiology LLC | Radiology | 1270 Rte 35 Ste 3, Middletown, NJ 07748-2014 | 2019-01-17 |
| 1033689401 | Bay Imaging Consultants Medical Group Inc | Radiology | 54 Ettl Cir, Princeton, NJ 08540-2326 | 2018-11-28 |
| 1598240285 | Advanced Women Imaging Professional Association | Radiology | 560a 60th St, West New York, NJ 07093-1487 | 2018-09-27 |
| 1376034520 | Sonoview Imaging LLC | Radiology | 5600 Kennedy Blvd W Ste 108, West New York, NJ 07093-1256 | 2018-05-23 |
| 1215443866 | Atlantic Diagnostic Services, Ipa, LLC | Radiology | 110 South Jefferson Road, Suite 201, Whippany, NJ 07981 | 2017-12-19 |
| Find all providers with the same taxonomy | ||||
| City | PENNSVILLE |
| Zip Code | 08070 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.