PRIME RADIOLOGY LLC (NPI# 1245539386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245539386 |
| Entity Type | Organization |
| Organization Name | PRIME RADIOLOGY LLC |
| Practice Address |
1036 Amboy Ave Edison NJ 08837-2870 |
| Mailing Address |
66 West Gilbert Street 2nd Floor Red Bank NJ 07701-4918 |
| Practice Telephone | 7322252300 |
| Mailing Telephone | 7322120051 |
| Mailing Fax Number | 7322120713 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | SURESH MODY (PRESIDENT) |
| Authorized Official Telephone | 7322120051 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
1036 AMBOY AVE |
| City | EDISON |
| State | NJ |
| Zip Code | 08837-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659414233 | Prime Dental | Dentist | 1036 Amboy Ave, Edison, NJ 08837-2806 | 2007-02-14 |
| 1396082228 | Bansari Kaushik Modi | Dentist | 1036 Amboy Ave, Edison, NJ 08837-2870 | 2013-01-11 |
| 1356484935 | Darshna Mody | Dentist | 1036 Amboy Ave, Edison, NJ 08837-2806 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1134783640 | Prathyusha Bala Lanka | Physical Therapist | 132 Evergreen Road, Edison, NJ 08837 | 2019-04-30 |
| 1801363049 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2500 Menlo Park Mall, Edison, NJ 08837 | 2018-10-25 |
| 1548796980 | Christina Iacuzio | Behavior Technician | 10 Parsonage Rd, Suite 318, Edison, NJ 08837 | 2017-05-04 |
| 1508250705 | Patrick Wong | Family Medicine | 10 Parsonage Rd Ste 410, Edison, NJ 08837 | 2015-03-25 |
| 1881035541 | Wright Medical Response LLC | Non-emergency Medical Transport (VAN) | 3181 Woodbridge Avenue, Edison, NJ 08837 | 2013-07-10 |
| 1073852216 | Edison Township Board of Education | Local Education Agency (LEA) | 312 Pierson Avenue, Edison, NJ 08837 | 2013-02-07 |
| 1184974578 | Rock M Olofernes | Occupational Therapist | 148 Safran Ave, Edison, NJ 08837 | 2012-09-13 |
| 1851601330 | Garden State Physicians | Family Medicine | 1002 Amboy Ave., Edison, NJ 08837 | 2010-10-18 |
| 1215259528 | Surgical Associates Middlesex County | Surgery | 2 Lincoln Ave Ste 402, Edison, NJ 08837 | 2010-02-28 |
| Find all providers in zip 08837 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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|---|---|---|---|---|
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| 1174848642 | Medical & Molecular Imaging Jersey City LLC | Clinic/Center | 22 Meridian Road, Ste 7, Edison, NJ 08820-2860 | 2010-03-29 |
| 1902804727 | Health Diagnostics of New Jersey, LLC | Clinic/Center | 3840 Park Ave, Suite C, Edison, NJ 08820-2563 | 2005-07-14 |
| 1043737802 | Aq Imaging LLC | Clinic/Center | 1921 Oak Tree Rd, Edison, NJ 08820-2073 | 2017-08-23 |
| 1982138806 | Reliable Diagnostics Inc | Clinic/Center | 15 Main St, Edison, NJ 08837-3447 | 2017-04-18 |
| 1659511574 | Health Diagnostics of New Jersey, LLC | Clinic/Center | 3830 Park Ave, Edison, NJ 08820-2562 | 2009-03-05 |
| 1114061793 | A.p.diagnostic Imaging Inc. | Clinic/Center | 1692 Oak Tree Rd, Edison, NJ 08820-2853 | 2007-02-16 |
| 1679620637 | Nuclear Cardiology Diagnostics | Clinic/Center | 4 Ethel Rd, Suite 406a, Edison, NJ 08817-2841 | 2007-01-04 |
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| 1043719628 | Imaginginterventions, LLC | Clinic/Center | 186 Princeton Hightstown Rd Bldg 3b, West Windsor, NJ 08550-1668 | 2018-02-08 |
| 1023530821 | Advanced Imaging Medical LLC | Clinic/Center | 400 Delancey St Ste 108, Newark, NJ 07105-3846 | 2017-07-13 |
| 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.