1450 ASSOCIATES LLC NPI 1770539058

NPI Information

NPI: 1770539058
Provider Name: 1450 ASSOCIATES, LLC

Doing Business As: CENTER FOR DIAGNOSTIC IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1119 HIGHWAY 77
SUITE 2C
BRIDGETON, NJ
ZIP 08302
Phone: (856) 453-1555
Get Directions

1450 ASSOCIATES, LLC is a radiology clinic center in Bridgeton, NJ. 1450 ASSOCIATES, LLC NPI is 1770539058. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Diagnostic Imaging.

The provider's business location address is:

1119 HIGHWAY 77
SUITE 2C
BRIDGETON, NJ
ZIP 08302-649
Phone: (856) 453-1555
Fax: (856) 453-0255

The provider's authorized official is Satish Shah .
The authorized official title is Partner and has the following contact phone number (856) 794-8664.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 8/22/2020.

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	23367	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	Other Provider Identifier Issuer
1	CJ3996	OTHER	NEW JERSEY	RAILROAD MEDICARE
2	2237566000	OTHER		AMERIHEALTH
3	077	OTHER		HEALTHNET/CARECORE
4	16802	OTHER		AMERIGROUP
5	A2891314	OTHER		OXFORD
6	01000441402	OTHER		AMERICHOICE
7	2K3084	OTHER		HEALTHNET
8	S992861	OTHER		CIGNA/AIM
9	8667802	MEDICAID	NEW JERSEY
10	1156711	OTHER		HORIZON NJ HEALTH

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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