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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Hardeeville, SC
- NPI 1508819970
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.