Northeast Imaging & Diagnostics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTHEAST IMAGING & DIAGNOSTICS LLC

Practice address

472 Union Blvd
Totowa, NJ 07512-2565

Phone

(973) 942-2440

Fax

(973) 942-3367

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Hossam Mishel

Title

Managing Director

Phone

(973) 942-2440

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1013186014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122565",
            "telephone_number": "973-942-2440",
            "fax_number": "973-942-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122565",
            "telephone_number": "973-942-2440",
            "fax_number": "973-942-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST IMAGING & DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "MISHEL",
        "authorized_official_first_name": "HOSSAM",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "973-942-2440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kamil NMN Nykiel
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• Clinic/Center in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.