CRYSTAL CLEAR DIAGNOSTICS SERVICES INC NPI 1740234343

NPI Information

  • NPI: 1740234343
  • Provider Name: CRYSTAL CLEAR DIAGNOSTICS SERVICES INC
  • Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
  • Entity Type: Organization
  • Address: 2601 BELMAR BLVD
    WALL, NJ
    ZIP 07719
  • Phone: (732) 280-0455

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NPI Details

CRYSTAL CLEAR DIAGNOSTICS SERVICES INC is a portable x ray and or other portable diagnostic imaging supplier in Wall, NJ. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. CRYSTAL CLEAR DIAGNOSTICS SERVICES INC NPI is 1740234343. The provider is registered as an organization entity type.

The provider's business location address is:

2601 BELMAR BLVD
WALL, NJ
ZIP 07719
Phone: (732) 280-0455
Fax: (732) 280-0453

The provider's authorized official is Thomas John Corney .
The authorized official title is President and has the following contact phone number (914) 330-3562.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Set-up portable x-ray equipment (HCPCS:Q0092)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen (HCPCS:R0070)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen (HCPCS:R0075)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of both hips, minimum of 5 views (HCPCS:73523)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of middle spine, 2 views (HCPCS:72070)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 7/23/2009.

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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier59023555NEW YORKYes

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
1101113MEDICARE PINNEW JERSEY
202W751MEDICARE ID-TYPE UNSPECIFIEDNEW YORKPORTABLE XRAY
3118876MEDICARE PINPENNSYLVANIA
431X0009839MEDICARE PINNEW 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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