ADVANCED DIAGNOSTIC IMAGING OF NEW JERSEY INC NPI 1114044708

NPI Information

NPI: 1114044708
Provider Name: ADVANCED DIAGNOSTIC IMAGING OF NEW JERSEY INC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
34 STATE HIGHWAY ROUTE 17 NORTH
PARAMUS, NJ
ZIP 07652
Phone: (201) 368-2005
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ADVANCED DIAGNOSTIC IMAGING OF NEW JERSEY INC is a radiology clinic center in Paramus, NJ. ADVANCED DIAGNOSTIC IMAGING OF NEW JERSEY INC NPI is 1114044708. The provider is registered as an organization entity type.

The provider's business location address is:

34 STATE HIGHWAY ROUTE 17 NORTH
PARAMUS, NJ
ZIP 07652
Phone: (201) 368-2005
Fax: (201) 368-1431

The provider's authorized official is Victor M Mora .
The authorized official title is Administrator, and has the following contact phone number (201) 368-2005.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 11/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	22548	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	374421	OTHER	NEW JERSEY	PTAN
2	8149909	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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