STAT PORTABLE X-RAY OF NEW JERSEY, LLC (NPI# 1174095582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174095582 |
| Entity Type | Organization |
| Organization Name | STAT PORTABLE X-RAY OF NEW JERSEY, LLC |
| Practice Address |
2 Bergen Tpke Ridgefield Park NJ 07660-2340 |
| Mailing Address |
21118 Union Tpke Oakland Gardens NY 11364-3241 |
| Practice Telephone | 7182178000 |
| Mailing Telephone | 7182178000 |
| Mailing Fax Number | 7182175485 |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2018-12-24 |
| Authorized Official Name | MENACHEM LEDER (OPERATIONS MANAGER) |
| Authorized Official Telephone | 7182178000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
2 BERGEN TPKE |
| City | RIDGEFIELD PARK |
| State | NJ |
| Zip Code | 07660-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104862580 | Specialty Rx Inc | Pharmacy | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2340 | 2006-06-22 |
| 1730709221 | Dishant Patel | Pharmacist | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2390 | 2020-04-24 |
| 1194358945 | Hema Shaddarshanam | Pharmacist | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2340 | 2020-02-20 |
| 1881169993 | Heithem Odeh | Pharmacist | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2340 | 2018-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053967067 | Clare Maggio | Technician | 114 Third Street, Ridgefield Park, NJ 07660 | 2019-08-15 |
| 1427528090 | Beatriz Cruz | Social Worker | 395 Grand Street, Jersey City, NJ 07660 | 2018-11-27 |
| 1689102014 | Kyle James Viola | Physician Assistant | 714 10th St., Secaucus, NJ 07660 | 2017-05-30 |
| 1306398391 | Lawton C Thomas Jr D.m.d | Clinic/Center | 288 Main Street, Rdgefield Park, NJ 07660 | 2016-10-26 |
| 1396130316 | George Mina | Podiatrist | 199 Bergen Tpke Apt 2c, Ridgefield Park, NJ 07660 | 2015-04-06 |
| 1346582236 | Daniel Rousseau | Registered Nurse | 147 Hobart Street, Ridgiefiel Park, NJ 07660 | 2013-03-19 |
| 1275796138 | Aquaentellius, Inc | Pharmacy | 17 7th Street, Ridgefield Park, NJ 07660 | 2008-07-09 |
| 1487872495 | Nina Izhaky | Dentist | 45 Winant Ave., Ridgefield Park, NJ 07660 | 2007-04-23 |
| 1518987726 | Sonmed Homecare, LLC | Durable Medical Equipment & Medical Supplies | 58 60 Ridgefield Ave, Suite 6, Ridgefield Park, NJ 07660 | 2006-07-20 |
| 1811262330 | Iram Aqeel | Internal Medicine | 870 Palisade Ave, Teaneck, NJ 07660 | 2012-03-16 |
| Find all providers in zip 07660 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154812949 | Emergency Mobile Radiology | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 50 S Michigan Ave, Kenilworth, NJ 07033-1739 | 2018-05-29 |
| 1972007334 | Triton Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 119 Ivy Ln, Tenafly, NJ 07670-2410 | 2018-03-21 |
| 1447633219 | Divine Care Health Staffing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 170 Bergen Ave Ste B, New Milford, NJ 07646-2806 | 2015-06-29 |
| 1053742874 | Pdi Health LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 River St Ste 9, Hoboken, NJ 07030-5990 | 2013-12-04 |
| 1508119660 | Sigl LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11-06 Fair Lawn Ave, Fair Lawn, NJ 07410-2228 | 2012-10-25 |
| 1346596418 | Mes Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 100 Wood Ave S, Suite 110, Iselin, NJ 08830-2727 | 2012-07-26 |
| 1083974984 | Image Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kennedy Boulevard, East Brunswick, NJ 08816 | 2012-05-24 |
| 1417268004 | Reliant Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 200 Winston Dr Apt 2811, Cliffside Park, NJ 07010-3231 | 2010-06-29 |
| 1912138629 | Care Diagnostics Limited Liability Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 180 Park Ave S, Lakewood, NJ 08701-3556 | 2009-07-29 |
| 1225268600 | Cardiovascular Onsite Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Hancock Ct, Plainsboro, NJ 08536 | 2009-07-21 |
| Find all providers with the same taxonomy | ||||
| City | RIDGEFIELD PARK |
| Zip Code | 07660 |
Please comment or provide details below to improve the information on STAT PORTABLE X-RAY OF NEW JERSEY, LLC.
| 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.