Imaging Center Montville LLC Wayne Radiology Center

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

IMAGING CENTER MONTVILLE LLC WAYNE RADIOLOGY CENTER

Doing business as

Wayne Radiology Center

Practice address

516 Hamburg Tpke Ste 6
Wayne, NJ 07470-2063

Phone

(973) 720-0050

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Jefferson Mar

Title

Administrator

Phone

(973) 720-0050

Specialties & licenses 2

Addresses

Other names 1

• Wayne Radiology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J Doerr, M.D.

  • Diagnostic Radiology Physician
  • Clifton, NJ
  • NPI 1194808717
  NPD
• Michael Vincent Dutka, M.D.

  • Diagnostic Radiology Physician
  • Hamilton, NJ
  • NPI 1255547717
  NPD
• Alice N Francisco, M.D.

  • Diagnostic Radiology Physician
  • Ridgefield Park, NJ
  • NPI 1558464735
  NPD
• Thurairasah Vijayanathan, MD

  • Diagnostic Radiology Physician
  • West New York, NJ
  • NPI 1205808813
  NPD

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1063172476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 HAMBURG TPKE STE 6",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702063",
            "telephone_number": "973-720-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 HAMBURG TPKE STE 6",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702063",
            "telephone_number": "973-720-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING CENTER MONTVILLE LLC WAYNE RADIOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "MAR",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-720-0050"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Radiology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.