HOBOKEN RADIOLOGY LLC NPI 1114957016

NPI Information

NPI: 1114957016
Provider Name: HOBOKEN RADIOLOGY, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
79 HUDSON ST
SUITE 100
HOBOKEN, NJ
ZIP 07030
Phone: (201) 222-2500
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HOBOKEN RADIOLOGY, LLC is a radiology clinic center in Hoboken, NJ. HOBOKEN RADIOLOGY, LLC NPI is 1114957016. The provider is registered as an organization entity type.

The provider's business location address is:

79 HUDSON ST
SUITE 100
HOBOKEN, NJ
ZIP 07030-638
Phone: (201) 222-2500
Fax: (201) 469-0555

The provider's authorized official is Gary R Berger .
The authorized official title is Administrator and has the following contact phone number (201) 222-2500.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/22/2020.

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	23188	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	2280953000	OTHER	NEW HAMPSHIRE	AMERIHEALTH HMO
2	036754	OTHER	NEW JERSEY	CIGNA PPO
3	1600372	OTHER	NEW JERSEY	AMERIHEALTH PPO
4	0043001	MEDICAID	NEW JERSEY
5	3606490	OTHER	NEW JERSEY	AETNA HMO
6	7013612	OTHER	NEW JERSEY	AETNA GOLDEN CHOICE/MEDIC
7	A3197301	OTHER	NEW JERSEY	OXFORD

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

NPI Synchronization or Removal

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