JERSEY DIAGNOSTIC IMAGING, LLC (NPI# 1295968154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295968154 |
| Entity Type | Organization |
| Organization Name | JERSEY DIAGNOSTIC IMAGING, LLC |
| Other Organization Name | JERSEY DIAGNOSTIC IMAGING, LLC |
| Practice Address |
929 N Wood Ave Linden NJ 07036-4039 |
| Practice Telephone | 9082415222 |
| Practice Fax Number | 9082410332 |
| Mailing Telephone | 9082415222 |
| Mailing Fax Number | 9082410332 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | MRS. DANUTA WASILCZUK (OWNER) |
| Authorized Official Telephone | 9082415222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
1325977 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0212121 | 05 |
| Other Name | Type Code |
|---|---|
| Jersey Diagnostic Imaging, LLC | Doing Business As Name - Organization |
| Street Address |
929 N WOOD AVE |
| City | LINDEN |
| State | NJ |
| Zip Code | 07036-4039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556572 | Dinesh T Patel | Pharmacist | 1050 West Edgar Road, Linden, NJ 07036 | 2020-10-20 |
| 1235779877 | Premier Vein Care of N.j., L.L.C. | Clinic/Center | 822 North Wood Ave, 3rd Floor, Suite 2, Linden, NJ 07036 | 2020-01-12 |
| 1447743778 | Dream | Counselor | 811 Ainsworth St, Linden, NJ 07036 | 2018-06-12 |
| 1619483997 | Erin Marie Sisk | Occupational Therapist | 210 St Georges Avenue, Linden, NJ 07036 | 2017-12-21 |
| 1225580251 | Erin Guidera | Physical Therapist | 548 Elmwood Terrace, Linden, NJ 07036 | 2016-10-25 |
| 1386066496 | Gyrlfriendz Beauty Salon | Specialist | 115 N. Wood Avenue, Linden, NJ 07036 | 2014-01-08 |
| 1750644829 | Ana F Ramos | Health Educator | 638 Lindegar, Linden, NJ 07036 | 2012-06-22 |
| 1639448616 | Advanced Family Medical Associates, PC | Clinic/Center | 901 North Wood Avenue, Linden, NJ 07036 | 2011-12-21 |
| 1710262217 | Gabriela Kostikova | Pharmacist | 22 St George Ave, Linden, NJ 07036 | 2011-10-15 |
| 1144503608 | Kimberly Theresa Hendricksen | Behavioral Analyst | 1112a University Terrace, Linden, NJ 07036 | 2011-09-21 |
| Find all providers in zip 07036 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790332369 | Anthony Palmieri | Clinic/Center | 2 Chaser Ct, Holmdel, NJ 07733-2933 | 2019-08-19 |
| 1053830869 | Bradley and Elliott Imaging, LLC | Clinic/Center | 84 Park Ave Ste G210c, Flemington, NJ 08822-1174 | 2017-09-12 |
| 1366854259 | Ir Imaging Medical Service LLC | Clinic/Center | 218 Avenue B, 3f, Bayonne, NJ 07002-3145 | 2014-05-27 |
| 1013257419 | Nj Medical Solutions | Clinic/Center | 17 S 21st St, Kenilworth, NJ 07033-1625 | 2013-02-21 |
| 1053685511 | Professional Mobile Diagnostic Imaging LLC | Clinic/Center | 1810 Kennedy Boulevard, Jersey City, NJ 07305 | 2012-03-01 |
| 1386916005 | Sunny Imaging LLC | Clinic/Center | 127 Nathan Dr, North Brunswick, NJ 08902-1234 | 2012-01-27 |
| 1194093294 | Us Medical Services LLC | Clinic/Center | 85 Parlin Ln, Watchung, NJ 07069-5419 | 2011-12-05 |
| 1669798260 | Green Life Diagnostics, Inc. | Clinic/Center | 1903 Willow Oak Ln, Cedar Knolls, NJ 07927-1338 | 2010-04-08 |
| 1912238874 | Myron Medical Imaging, LLC | Clinic/Center | 218 N 10th St, Kenilworth, NJ 07033-1152 | 2010-01-15 |
| 1932338969 | 3dimension Diagnostic Solution Inc | Clinic/Center | 394 Union St, 1st Floor, Jersey City, NJ 07304-1212 | 2009-07-13 |
| Find all providers with the same taxonomy | ||||
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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.