HOLMDEL IMAGING LLC NPI 1629027339

NPI Information

  • NPI: 1629027339
  • Provider Name: HOLMDEL IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 31D2008972
  • Address: 100 COMMONS WAY
    HOLMDEL, NJ
    ZIP 07733
  • Phone: (732) 671-6618

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NPI Details

HOLMDEL IMAGING LLC is a diagnostic radiology radiology in Holmdel, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. HOLMDEL IMAGING LLC NPI is 1629027339. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 COMMONS WAY
HOLMDEL, NJ
ZIP 07733-934
Phone: (732) 671-6618
Fax: (732) 671-7353

The provider's authorized official is Amy Stout .
The authorized official title is President/ceo and has the following contact phone number (615) 261-2306.

The CLIA number assigned to this NPI record is 31D2008972 - other - outpt imaging facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 10/7/2025.

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 RadiologyYes

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
10016021MEDICAIDNEW 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

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