Active NPI
Aq Imaging LLC
- Radiology Clinic/Center
- Edison, NJ
National Provider Identifier
1043737802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deepak Naran
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180507002490 | NJ | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1052675634 | Practice locations: Edison, NJ |
National Provider Directory
National Provider DirectoryPractitioners & 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
- Edison, NJ
- NPI 1629099783
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.