Organization Active NPI

Stat Portable X-Ray of New Jersey, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Metuchen, NJ
National Provider Identifier
1013637602
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
STAT PORTABLE X-RAY OF NEW JERSEY, LLC
Practice address
160 Durham Ave Ste 1010
Metuchen, NJ 08840-1261
Phone
(201) 440-1757
NPI assigned
Sep 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Menachem Leder
Title
Operations Manager
Phone
(718) 217-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

160 Durham Ave Ste 1010
Metuchen, NJ 08840-1261

Mailing address

21118 Union Tpke
Oakland Gardens, NY 11364-3241
Phone (718) 217-8000

National Provider Directory

National Provider Directory

Locations

160 Durham Ave
Ste 101
Metuchen, NJ 08840
Phone (201) 440-1753

160 Durham Ave
Ste 1010
Metuchen, NJ 08840
Phone (201) 440-1757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1013637602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21118 UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643241",
            "telephone_number": "718-217-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DURHAM AVE STE 1010",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401261",
            "telephone_number": "201-440-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT PORTABLE X-RAY OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "LEDER",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "718-217-8000"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.