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UNIVERSITY RADIOLOGY TEANECK LLC NPI 1104243377


NPI Information

NPI: 1104243377
Provider Name: UNIVERSITY RADIOLOGY TEANECK, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 31D2082593

Address:
699 TEANECK RD
TEANECK, NJ
ZIP 07666
Phone: (201) 836-2500
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UNIVERSITY RADIOLOGY TEANECK, LLC is a diagnostic radiology radiology in Teaneck, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. UNIVERSITY RADIOLOGY TEANECK, LLC NPI is 1104243377. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

699 TEANECK RD
TEANECK, NJ
ZIP 07666-244
Phone: (201) 836-2500
Fax: (732) 390-1856

The provider's authorized official is S. Thomas Dunlap .
The authorized official title is Ceo and has the following contact phone number (732) 390-0040.

The CLIA number assigned to this NPI record is 31D2082593 - other - radiology office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2014 and was last updated on 3/25/2014.


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
12085B0100XRadiologyBody ImagingNEW JERSEYNo
22085D0003XRadiologyDiagnostic NeuroimagingNEW JERSEYNo
32085N0700XRadiologyNeuroradiologyNEW JERSEYNo
42085R0202XRadiologyDiagnostic RadiologyNEW JERSEYYes

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

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