MILLBURN MEDICAL IMAGING PA NPI 1356396873

NPI Information

  • NPI: 1356396873
  • Provider Name: MILLBURN MEDICAL IMAGING, PA
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 2130 MILLBURN AVENUE
    MAPLEWOOD, NJ
    ZIP 07040
  • Phone: (973) 912-0404

Map and Directions

Get Directions

NPI Details

MILLBURN MEDICAL IMAGING, PA is a diagnostic radiology radiology in Maplewood, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MILLBURN MEDICAL IMAGING, PA NPI is 1356396873. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2130 MILLBURN AVENUE
MAPLEWOOD, NJ
ZIP 07040
Phone: (973) 912-0404
Fax: (973) 912-0444

The provider's authorized official is Kenneth Neshibal .
The authorized official title is Authorized Official and has the following contact phone number (973) 912-0404.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 5/1/2008.

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
12085R0202XRadiologyDiagnostic Radiology22950NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CM2688MEDICARE PINNEW JERSEY
23443809MEDICAIDNEW JERSEY
3622776MEDICARE 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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI