NEWARK DIAGNOSTIC RADIOLOGISTS PA NPI 1558400309

NPI Information

NPI: 1558400309
Provider Name: NEWARK DIAGNOSTIC RADIOLOGISTS, PA
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
201 LYONS AVE
NEWARK, NJ
ZIP 07112
Phone: (732) 383-4155
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NEWARK DIAGNOSTIC RADIOLOGISTS, PA is a radiology clinic center in Newark, NJ. NEWARK DIAGNOSTIC RADIOLOGISTS, PA NPI is 1558400309. The provider is registered as an organization entity type.

The provider's business location address is:

201 LYONS AVE
NEWARK, NJ
ZIP 07112-027
Phone: (732) 383-4155
Fax: (732) 383-4171

The provider's authorized official is Janel Dimaria .
The authorized official title is Office Administrator and has the following contact phone number (732) 383-4155.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 10/28/2008.

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
1	261QR0200X	Clinic/Center	Radiology		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
1	432261	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	2950405	MEDICAID	NEW JERSEY
3	CN0258	MEDICARE PIN	NEW 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

NPI Synchronization or Removal

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