EXECUTIVE DIAGNOSIS SERVICE (NPI# 1841501244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841501244 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE DIAGNOSIS SERVICE |
| Practice Address |
39 Aycrigg Avenue Passaic NJ 07055 |
| Practice Telephone | 5515871150 |
| Practice Fax Number | 9737771636 |
| Mailing Telephone | 5515871150 |
| Mailing Fax Number | 9737771636 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | ANA VIRGINIA DELACRUZ (OWNER) |
| Authorized Official Telephone | 5515871150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
39 AYCRIGG AVENUE |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073962577 | Michael Edward Liles | Radiologic Technologist | 528 Hogbin Rd, Millville, NJ 08332-5228 | 2016-06-07 |
| 1083007793 | Julian Infantino | Radiologic Technologist | 6 Betty Ct, Ridgewood, NJ 07450-2026 | 2015-03-05 |
| 1740693407 | Wayne Cancer Center, LLC | Radiologic Technologist | 234 Hamburg Tpke., Wayne, NJ 07470-2149 | 2014-06-10 |
| 1720332224 | Dennis M Wood | Radiologic Technologist | 177 Lexington Ave, Cresskill, NJ 07626-1238 | 2012-11-05 |
| 1821371592 | C V Imaging Services | Radiologic Technologist | 53 Reynolds St, Iselin, NJ 08830-1339 | 2011-09-20 |
| 1508248188 | Crystal Meyerson | Radiologic Technologist | 714 Rte 35, Middletown, NJ 07748-4202 | 2015-06-19 |
| 1174924609 | Jhl Imaging Services of New Jersey LLC | Radiologic Technologist | 2414 Morris Ave, Ste 352, Union, NJ 07083-5732 | 2014-09-16 |
| 1013261270 | Soon Zeung Lee | Radiologic Technologist | 11-06 Fair Lawn Ave, Fair Lawn, NJ 07410-2228 | 2012-11-08 |
| 1326334327 | Janetta Morris | Radiologic Technologist | 865 Stone St, Rahway, NJ 07065-2742 | 2011-06-28 |
| 1447565411 | Farrukh Babar | Radiologic Technologist | 394 Union St, Jersey City, NJ 07304-1212 | 2010-08-13 |
| 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.