NPIMap

Organization Active NPI

MRI of Woodbridge LLC

  • Radiology Clinic/Center
  • Avenel, NJ
National Provider Identifier
1003872953
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
22624 Issued in NJ
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
Last updated
May 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leo Fontana, M.D.NPI 1194722637
Title
Medical Director
Phone
(732) 574-0742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.

Verify at the official NPI Registry.