Organization Active NPI

Aq Imaging LLC

  • Radiology Clinic/Center
  • Edison, NJ
National Provider Identifier
1043737802
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
AQ IMAGING LLC
Practice address
1921 Oak Tree Rd
Edison, NJ 08820-2073
Phone
(732) 662-1831
Fax
(732) 662-1833
NPI assigned
Aug 23, 2017
Reactivated
Feb 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Dr. Deepak NaranNPI 1629099783
Title
Owner
Phone
(732) 662-1831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1921 Oak Tree Rd
Edison, NJ 08820-2073

Mailing address

1921 Oak Tree Rd
Edison, NJ 08820-2073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180507002490 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1052675634 Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

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": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1043737802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202073",
            "telephone_number": "732-662-1831",
            "fax_number": "732-662-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQ IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "deactivation_date": "2018-12-19",
        "reactivation_date": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "NARAN",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-662-1831",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.