JERSEY SHORE IMAGING, LLC (NPI# 1538304019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538304019 |
Entity Type | Organization |
Organization Name | JERSEY SHORE IMAGING, LLC |
Practice Address |
2100 Corlies Ave Neptune NJ 07753 |
Mailing Address |
579 Cranbury Road East Brunswick NJ 08816 |
Practice Telephone | 7329881234 |
Practice Fax Number | 7329558874 |
Mailing Telephone | 7329300040 |
Mailing Fax Number | 7329558874 |
Enumeration Date | 2008-12-11 |
Last Update Date | 2020-06-17 |
Authorized Official Name | DR. ROBERT E. EPSTEIN (CHAIRMAN) |
Authorized Official Telephone | 7323900040 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0208884 | 05 |
Street Address |
2100 CORLIES AVE |
City | NEPTUNE |
State | NJ |
Zip Code | 07753 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528063674 | Jersey Shore Radiology Associates, P.a. | Radiology | 2100 Corlies Ave, Neptune, NJ 07753-6102 | 2005-06-16 |
1437587326 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2100 Corlies Ave, Suite 3, Neptune, NJ 07753-6102 | 2013-10-31 |
1215215819 | Tammy Lynn Wood | Physician Assistant | 2100 Corlies Ave, Suite 12, Neptune, NJ 07753-6102 | 2011-07-30 |
1881982197 | Belanger Podiatry Associates, LLC | Podiatrist | 2100 Corlies Ave, Suite 3, Neptune, NJ 07753-6102 | 2011-07-20 |
1124286083 | Harry James Dounis | Internal Medicine | 2100 Corlies Ave, Suite 15, Neptune, NJ 07753-6102 | 2008-05-28 |
1629259882 | Neptune Foot Care Center | Durable Medical Equipment & Medical Supplies | 2100 Corlies Ave, Neptune, NJ 07753-6102 | 2007-11-16 |
1255531224 | Atlantic Shore Medical, Pa | Internal Medicine | 2100 Corlies Ave, Suite # 20, Neptune, NJ 07753-6102 | 2007-07-18 |
1003926171 | Shore Nephrology Pa. | Internal Medicine | 2100 Corlies Ave, Suite 15, Neptune, NJ 07753-6102 | 2006-08-30 |
1548276769 | Don Woo Choi | Internal Medicine | 2100 Corlies Ave, Suite 17, Neptune, NJ 07753-0903 | 2006-07-31 |
1306888789 | Lookman K Odejobi | Internal Medicine | 2100 Corlies Ave, Suite # 20, Neptune, NJ 07753-6102 | 2006-06-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
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Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 |
---|---|---|---|---|
1578581708 | Joseph M Barry | Radiology | 2100 State Route 33, Neptune, NJ 07753-6102 | 2006-07-17 |
1528063674 | Jersey Shore Radiology Associates, P.a. | Radiology | 2100 Corlies Ave, Neptune, NJ 07753-6102 | 2005-06-16 |
1467447458 | Thomas F Witomski | Radiology | 2100 Corlies Ave, Neptune, NJ 07753-6102 | 2005-09-15 |
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1841826567 | Mercer Diagnostic Imaging, LLC | Radiology | 1245 Whitehorse Mercerville Rd Ste 403, Hamilton, NJ 08619-3831 | 2020-03-13 |
1225678352 | Jefferson University Radiology Associates, LLC | Radiology | 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 | 2020-01-07 |
1982240248 | Edison Medical Imaging | Radiology | 1907 Oak Tree Rd Ste 101, Edison, NJ 08820-2070 | 2019-11-21 |
1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
1891269254 | Middletown Radiology LLC | Radiology | 1270 Rte 35 Ste 3, Middletown, NJ 07748-2014 | 2019-01-17 |
1033689401 | Bay Imaging Consultants Medical Group Inc | Radiology | 54 Ettl Cir, Princeton, NJ 08540-2326 | 2018-11-28 |
1598240285 | Advanced Women Imaging Professional Association | Radiology | 560a 60th St, West New York, NJ 07093-1487 | 2018-09-27 |
1376034520 | Sonoview Imaging LLC | Radiology | 5600 Kennedy Blvd W Ste 108, West New York, NJ 07093-1256 | 2018-05-23 |
1215443866 | Atlantic Diagnostic Services, Ipa, LLC | Radiology | 110 South Jefferson Road, Suite 201, Whippany, NJ 07981 | 2017-12-19 |
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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.