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JERSEY LIBERTY RADIOLOGY P.C. NPI 1063653780


NPI Information

NPI: 1063653780
Provider Name: JERSEY LIBERTY RADIOLOGY, P.C.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
355 GRAND ST
JERSEY CITY, NJ
ZIP 07302
Phone: (201) 915-2251
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JERSEY LIBERTY RADIOLOGY, P.C. is a diagnostic radiology radiology in Jersey City, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. JERSEY LIBERTY RADIOLOGY, P.C. NPI is 1063653780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

355 GRAND ST
JERSEY CITY, NJ
ZIP 07302-321
Phone: (201) 915-2251

The provider's authorized official is Edward Poon .
The authorized official title is President and has the following contact phone number (201) 915-2251.

The enumeration date for this NPI number is 3/9/2009 and was last updated on 3/9/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.