TRISTATE IMAGING CONSULTANTS LLC NPI 1578569679

NPI Information

NPI: 1578569679
Provider Name: TRISTATE IMAGING CONSULTANTS, LLC
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
Doing Business As: MANAHAWKIN OPEN MRI
Address: 1322 ROUTE 72 W
MANAHAWKIN, NJ
ZIP 08050
Phone: (609) 978-7900

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NPI Details

TRISTATE IMAGING CONSULTANTS, LLC is a diagnostic radiology radiology in Manahawkin, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TRISTATE IMAGING CONSULTANTS, LLC NPI is 1578569679. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Manahawkin Open Mri.

The provider's business location address is:

1322 ROUTE 72 W
MANAHAWKIN, NJ
ZIP 08050-489
Phone: (609) 978-7900
Fax: (609) 978-7544

The provider's authorized official is Mike Carr .
The authorized official title is President and has the following contact phone number (215) 663-5910.

The enumeration date for this NPI number is 6/23/2005 and was last updated on 2/10/2009.

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	2085R0202X	Radiology	Diagnostic Radiology			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	8488207	MEDICAID	NEW JERSEY
2	046271	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: 3/30/2025

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