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NEW JERSEY SPECIALIST NPI 1356536148


NPI Information

NPI: 1356536148
Provider Name: NEW JERSEY SPECIALIST
Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

CLIA Number: 31D2225500

Address:
328 W SAINT GEORGES AVE
LINDEN, NJ
ZIP 07036
Phone: (908) 925-7519
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NEW JERSEY SPECIALIST is a diagnostic ultrasound radiology in Linden, NJ. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. NEW JERSEY SPECIALIST NPI is 1356536148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

328 W SAINT GEORGES AVE
LINDEN, NJ
ZIP 07036-638
Phone: (908) 925-7519
Fax: (908) 925-2842

The provider's authorized official is Jo-ann Pellittere .
The authorized official title is Billing Manager and has the following contact phone number (908) 925-7519.

The CLIA number assigned to this NPI record is 31D2225500 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 9/17/2007.


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
12085U0001XRadiologyDiagnostic UltrasoundYes

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

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