RADIOLOGY AND MEDICAL MANAGEMENT OF MILLBURN NPI 1548387863

NPI Information

NPI: 1548387863
Provider Name: RADIOLOGY AND MEDICAL MANAGEMENT OF MILLBURN

Doing Business As: ADVANCED DIAGNOSTIC IMAGING OF MILLBURN

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
25 E WILLOW ST
MILLBURN, NJ
ZIP 07041
Phone: (973) 564-5858
Get Directions

RADIOLOGY AND MEDICAL MANAGEMENT OF MILLBURN is a diagnostic radiology radiology in Millburn, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY AND MEDICAL MANAGEMENT OF MILLBURN NPI is 1548387863. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Advanced Diagnostic Imaging Of Millburn.

The provider's business location address is:

25 E WILLOW ST
MILLBURN, NJ
ZIP 07041-416
Phone: (973) 564-5858
Fax: (973) 564-6382

The provider's authorized official is Kathleen Loyola .
The authorized official title is Credentialing Officer and has the following contact phone number (973) 564-5858.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 5/5/2008.

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	2085R0202X	Radiology	Diagnostic Radiology	22904	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	2K0872	OTHER	NEW JERSEY	HEALTHNET
2	7481363	OTHER	NEW JERSEY	AETNA PPO
3	33783	OTHER	NEW JERSEY	UNIVERSITY HEALTH PLAN
4	8618607	MEDICAID	NEW JERSEY
5	624913	MEDICARE PIN	NEW JERSEY
6	2007207	OTHER	NEW JERSEY	FIRST HEALTH
7	058093	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	FREE STANDING FACILITY
8	2083813000	OTHER	NEW JERSEY	AMERIHEALTH HMO AND POS
9	2783932	OTHER	NEW JERSEY	AETNA HMO

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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