RWJUH IMAGING AT PLUM STREET LLC NPI 1710131677

NPI Information

NPI: 1710131677
Provider Name: RWJUH IMAGING AT PLUM STREET, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 31D0874138

Address:
10 PLUM ST
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 249-4410
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RWJUH IMAGING AT PLUM STREET, LLC is a diagnostic radiology radiology in New Brunswick, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RWJUH IMAGING AT PLUM STREET, LLC NPI is 1710131677. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10 PLUM ST
NEW BRUNSWICK, NJ
ZIP 08901-065
Phone: (732) 249-4410

The provider's authorized official is Robert E. Epstein .
The authorized official title is Chairman and has the following contact phone number (732) 390-0040.

The CLIA number assigned to this NPI record is 31D0874138 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2008 and was last updated on 1/2/2024.

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	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology	No
2	2085B0100X	Radiology	Body Imaging	No
3	2085N0700X	Radiology	Neuroradiology	No
4	2085N0904X	Radiology	Nuclear Radiology	No
5	2085R0202X	Radiology	Diagnostic Radiology	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	0183741	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: 4/28/2024

NPI Synchronization or Removal

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