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SHORE IMAGING P.C. NPI 1174528715


NPI Information

NPI: 1174528715
Provider Name: SHORE IMAGING, P.C.

Doing Business As: SHORE IMAGING, P.C.

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1166 RIVER AVE
STE 102
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 364-9565
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SHORE IMAGING, P.C. is a radiology clinic center in Lakewood, NJ. SHORE IMAGING, P.C. NPI is 1174528715. The provider is registered as an organization entity type.
The provider Is Doing Business As Shore Imaging, P.c..

The provider's business location address is:

1166 RIVER AVE
STE 102
LAKEWOOD, NJ
ZIP 08701-600
Phone: (732) 364-9565
Fax: (732) 364-1908

The provider's authorized official is Veronica Karaska .
The authorized official title is Credentialling and has the following contact phone number (732) 364-6004.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 2/8/2012.


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
1261QR0200XClinic/CenterRadiology22713NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15381002MEDICAIDNEW JERSEY
2127397MEDICARE PINNEW 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

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.