Pdi Health NJ LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

PDI HEALTH NJ LLC

Practice address

585 Prospect St Unit 306
Lakewood, NJ 08701-5073

Phone

(718) 388-3300

Fax

(877) 686-1540

NPI assigned

Jul 23, 2024

Last updated

Jul 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Menachem Tauber

Title

Ceo

Phone

(516) 517-4823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Pdi Health NJ LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pdi Health NJ LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Lakewood, NJ
  • NPI 1467318352
  NPD tax ID

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert P Gatewood Jr., MD

  • Cardiovascular Disease Physician
  • Williamsville, NY
  • NPI 1215915681
  NPD
• Daniel S Gurell, MD

  • Diagnostic Radiology Physician
  • Bronx, NY
  • NPI 1336164029
  NPD
• Kenneth B Blatt, M.D.

  • Diagnostic Radiology Physician
  • Maplewood, NJ
  • NPI 1326078320
  NPD (past)
• Joseph Freedman, M.D., MBA

  • Cardiovascular Disease Physician
  • Cape Coral, FL
  • NPI 1801061890
  NPD (past)
• Elliott Jay Wagner, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1558312579
  NPD (past)

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1053149922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SPENCER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051891",
            "telephone_number": "516-517-4716",
            "fax_number": "877-686-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 PROSPECT ST UNIT 306",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015073",
            "telephone_number": "718-388-3300",
            "fax_number": "877-686-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDI HEALTH NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "TAUBER",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-517-4823"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dimple Patel
• Jigishaben H Patel
• Neel H Patel, M.D.
• Beatriz C Patino-Sherard, LSW
• Kenneth Pavlinec, PT, CERT. MDT
• Pdi Health NJ LLC
• Pearl Braun Speech and Language Services LLC
• Anni Pedersen
• Shannon Pedersen
• Pedi-Care Corp (Pedicare Orthotics & Prosthetics)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.