MICHAEL HENDERSON M.D. NPI 1710917125

NPI Information

NPI: 1710917125
Provider Name: MICHAEL HENDERSON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
25 POCONO RD
DENVILLE, NJ
ZIP 07834
Phone: (973) 625-6650
Get Directions

Michael Henderson, M.D. is a diagnostic radiology radiology in Denville, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael Henderson, M.D. NPI is 1710917125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25 POCONO RD
DENVILLE, NJ
ZIP 07834-954
Phone: (973) 625-6650

The enumeration date for this NPI number is 7/3/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	MA24248	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	2038307	MEDICAID	NEW JERSEY
2	101543	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
3	C62974	MEDICARE UPIN

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: 5/5/2024

NPI Synchronization or Removal

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