Individual provider Active NPI

Edward Martin Solomon, M.D.

  • Diagnostic Radiology Physician
  • Denville, NJ
National Provider Identifier
1033155320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA04680800 Issued in NJ
Practice address
25 Pocono Rd
Denville, NJ 07834-2954
Phone
(973) 625-6650
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA04680800 NJ Primary

Addresses

Primary practice location

25 Pocono Rd
Denville, NJ 07834-2954

Mailing address

41 Pine St
Suite 102
Rockaway, NJ 07866-3139
Phone (973) 627-7922

Other identifiers 1

IdentifierTypeStateIssuer
0348805MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000579 NJ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5496796955 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Pittsburgh School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shi Specialists LLCGroup PAC ID 7911449558, 48 clinicians

Practice addresses (Care Compare)

888 Roberts CT
Franklin Lakes, NJ 07417-1319
Phone (863) 902-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04680800NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Radiology Associates PA Diagnostic Radiology CurrentSince Aug 7, 1991 Accepting new patients
Passaic Imaging Associates LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Shi Specialists LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

3219 Route 46
Ste 110
Parsippany, NJ 07054
Phone (973) 334-1006

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

45 Pine St
Ste 8
Rockaway, NJ 07866

41 Pine St
Ste 102
Rockaway, NJ 07866
Phone (973) 983-6600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033155320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PINE ST",
            "address_2": "SUITE 102",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663139",
            "telephone_number": "973-627-7922",
            "fax_number": "973-627-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POCONO RD",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342954",
            "telephone_number": "973-625-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "EDWARD",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA04680800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0348805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.