Active NPI
MRI of Woodbridge LLC
- Radiology Clinic/Center
- Avenel, NJ
National Provider Identifier
1003872953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 22624
- Legal business name
- MRI OF WOODBRIDGE LLC
- Practice address
- 1500 Saint Georges Ave
Avenel, NJ 07001-1000 - Phone
- (732) 574-0742
- Fax
- (732) 574-0143
- NPI assigned
- Apr 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leo Fontana, M.D.
- Title
- Medical Director
- Phone
- (732) 574-0742
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | 22624 | NJ | |
| Radiology Clinic/Center | 261QR0200X | 22624 | NJ | Primary |
Addresses
Primary practice location
1500 Saint Georges Ave
Avenel, NJ 07001-1000
Mailing address
PO Box 828393
Philadelphia, PA 19182-8393
Phone (732) 381-8686
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1166754 | Other | NJ | HORIZON NJ HEALTH |
| 134438XX | Other | NJ | PREFERRED CARE |
| 0268620000 | Other | NJ | AMERIHEALTH |
| 1K2970 | Other | NJ | HEALTHNET |
| 347671200 | Other | NJ | US DEPARTMENT OF LABOR |
| 2308288 | Other | NJ | AETNA |
| A2539097 | Other | NJ | OXFORD |
| 188501 | Other | NJ | AMERIGROUP |
| 343114 | Other | NJ | KEYSTONE HEALTH PLAN |
| 4199032 | Other | NJ | GHI |
| CH3126 | Other | NJ | PALMETTO GBA RAILROAD MED |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Union, NJ
- NPI 1063456754
-
- Diagnostic Radiology Physician
- Avenel, NJ
- NPI 1982603288
-
- Diagnostic Radiology Physician
- Avenel, NJ
- NPI 1922011618
-
- Diagnostic Radiology Physician
- Hermosa Beach, CA
- NPI 1720061211
-
- Diagnostic Radiology Physician
- Sellersville, PA
- NPI 1912954264
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1083720437
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1396742789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399852800000",
"number": "1003872953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 828393",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191828393",
"telephone_number": "732-381-8686",
"fax_number": "732-499-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAINT GEORGES AVE",
"city": "AVENEL",
"state": "NJ",
"postal_code": "070011000",
"telephone_number": "732-574-0742",
"fax_number": "732-574-0143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRI OF WOODBRIDGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2014-05-12",
"status": "A",
"authorized_official_last_name": "FONTANA",
"authorized_official_first_name": "LEO",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "732-574-0742",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "NJ",
"license": "22624",
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NJ",
"license": "22624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1166754",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "134438XX",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0268620000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1K2970",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPARTMENT OF LABOR",
"identifier": "347671200",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2308288",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A2539097",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "188501",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN",
"identifier": "343114",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "4199032",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD MED",
"identifier": "CH3126",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avenel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.