Pet/CT Center of New Jersey

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PET/CT CENTER OF NEW JERSEY

Practice address

235 Franklin Ave
Nutley, NJ 07110-2708

Phone

(973) 235-1010

Fax

(973) 235-1040

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Cullari

Title

Managing Partner

Phone

(973) 856-9196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1043563679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102708",
            "telephone_number": "973-235-1010",
            "fax_number": "973-235-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102708",
            "telephone_number": "973-235-1010",
            "fax_number": "973-235-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PET/CT CENTER OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "CULLARI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "973-856-9196",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Peralta, M.S. CCC-SLP
• Kenia Peralta, CCC-SLP
• Gregory Carl Perez, D.M.D.
• Jennifer Perez, LPC
• Periollp
• Kathleen Pete, LPC
• Caitlin Peterson, MSW
• Gianna Petrillo, M.S., CCC-SLP
• Kristen Elizabeth Petullo, LCSW
• Philip E Toaldo, DDS. PA

• Radiology Clinic/Center in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Radiology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.