PENNSVILLE MEDICAL IMAGING (NPI# 1174588172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174588172 |
| Entity Type | Organization |
| Organization Name | PENNSVILLE MEDICAL IMAGING |
| Practice Address |
248 S Broadway Pennsville NJ 08070-2724 |
| Practice Telephone | 8566784224 |
| Practice Fax Number | 8566789435 |
| Mailing Telephone | 8566784224 |
| Mailing Fax Number | 8566789435 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FARSHID TAATI (PRESIDENT) |
| Authorized Official Telephone | 8566784224 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
248 S BROADWAY |
| City | PENNSVILLE |
| State | NJ |
| Zip Code | 08070-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104978105 | Pennsville Radiology Inc. | Radiology | 248 S Broadway, Pennsville, NJ 08070-2724 | 2007-01-18 |
| 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 | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 |
|---|---|---|---|---|
| 1013319052 | Lodespoto Medical of Nj LLC | Radiology | 225 Passaic St, Passaic, NJ 07055-6414 | 2014-09-22 |
| 1790002228 | Alkies Lapas | Radiology | 85 Franklin Ave, Nutley, NJ 07110-3273 | 2010-04-23 |
| 1649353244 | Satyaveni Rao | Radiology | 6 Lake Shore Dr, Parsippany, NJ 07054-3939 | 2006-10-24 |
| 1003830571 | South Jersey Imaging Associates Pa | Radiology | 701 Route 38, Cherry Hill, NJ 08002-2955 | 2006-07-27 |
| 1447287354 | Joseph Zuback | Radiology | V.a. Medical Center Department of Radiology, 385 Tremont Ave., East Orange, NJ 07019 | 2006-06-27 |
| 1154377117 | Jane Birgitta Gauriloff-rothenberg | Radiology | 17 Tonnelier Way, Denville, NJ 07834-9615 | 2006-05-25 |
| 1528060258 | Steven Joseph Fagan | Radiology | 128 Anita Dr, Manahawkin, NJ 08050-3603 | 2005-08-12 |
| 1689678039 | James H Brown Jr. | Radiology | 355 Grand Street, Jersey City Medical Center, Jersey City, NJ 07302 | 2005-06-13 |
| 1548688153 | Edward Ebani | Radiology | 483 Cranbury Rd, East Brunswick, NJ 08816-3610 | 2014-04-01 |
| 1023371952 | Robert Joseph Novaco | Radiology | 150 Bergen Street, Uh-i248, Newark, NJ 07101 | 2012-06-15 |
| Find all providers with the same taxonomy | ||||
| City | PENNSVILLE |
| Zip Code | 08070 |
Please comment or provide details below to improve the information on PENNSVILLE MEDICAL IMAGING.
| 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.