DENVILLE DIAGNOSTICS IMAGING AND OPEN MRI LLC (NPI# 1235245119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235245119 |
| Entity Type | Organization |
| Organization Name | DENVILLE DIAGNOSTICS IMAGING AND OPEN MRI LLC |
| Other Organization Name | DENVILLE DIAGNOSTIC IMAGING |
| Practice Address |
161 East Main Street Denville NJ 07834 |
| Practice Telephone | 9735861212 |
| Practice Fax Number | 9735866555 |
| Mailing Telephone | 9735861212 |
| Mailing Fax Number | 9735866555 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | MR. MICHAEL DWYRE (OWNER) |
| Authorized Official Telephone | 9735861212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
24073 | NJ | Ambulatory Health Care Facilities |
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
24073 | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Denville Diagnostic Imaging | Doing Business As Name - Organization |
| Street Address |
161 EAST MAIN STREET |
| City | DENVILLE |
| State | NJ |
| Zip Code | 07834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871912030 | Rachel Ann Sicoli | Registered Nurse | 161 East Main Street, 2nd Floor, Denville, NJ 07834 | 2014-04-15 |
| 1386753077 | Kenneth L Jewel | Radiology | 161 East Main Street, Denville, NJ 07834 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304622 | Rosemarie Proven-fahy | Social Worker | 3175 Rt. 10 Building C, Suite 700, Denville, NJ 07834 | 2020-07-28 |
| 1568083327 | Anand Jetti | Student in an Organized Health Care Education/Training Program | Prime Healthcare Consortium At St. Mary's General Hospi, 25 Pocono Road, Denville, NJ 07834 | 2020-05-04 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1477022770 | Green Leaf Dentistry, LLC | Dentist | 3155 Route 10, Suite 201, Denville, NJ 07834 | 2018-11-15 |
| 1366955528 | Megan D Lukany | Social Worker | 4 2nd Ave Ste 208-b, Denville, NJ 07834 | 2017-11-09 |
| 1235680430 | Jennifer Jeanty | Nurse Practitioner | 280 W Main St Fl 2, Denville, NJ 07834 | 2016-10-22 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1265830830 | Denville Physical Therapy, LLC | Physical Therapist | 3155 Rte 10 E, Suite 112, Denville, NJ 07834 | 2014-12-15 |
| 1538565577 | Michael T. Cocuzza | Counselor | 76 Broadway Ste 200h, Denville, NJ 07834 | 2014-11-18 |
| Find all providers in zip 07834 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1043719628 | Imaginginterventions, LLC | Clinic/Center | 186 Princeton Hightstown Rd Bldg 3b, West Windsor, NJ 08550-1668 | 2018-02-08 |
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| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1750762449 | Atrium Diagnostic Imaging LLC | Clinic/Center | 224 Taylors Mills Rd Ste 108, Manalapan, NJ 07726-3281 | 2015-06-18 |
| 1851734123 | Hds Medical Imaging LLC | Clinic/Center | 845 Newark Ave, Jersey City, NJ 07306-5194 | 2013-04-16 |
| 1720326119 | Advanced Imaging Center LLC | Clinic/Center | 400 Delancey St, Suite 108, Newark, NJ 07105-3846 | 2013-01-21 |
| 1043563679 | Pet/ct Center of New Jersey | Clinic/Center | 235 Franklin Ave, Nutley, NJ 07110-2708 | 2012-10-19 |
| 1679831671 | Eastern Diagnostic Services LLC | Clinic/Center | 1121 Inwood Ter, Fort Lee, NJ 07024-1623 | 2012-04-26 |
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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.