Active NPI
Jose Luis Ferreira Sr., RT
- Mobile Radiology Clinic/Center
- New York, NY
National Provider Identifier
1063470920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- 626344
- Practice address
- 5 Hamilton PL
New York, NY 10031-6801 - Phone
- (908) 884-0616
- Fax
- (908) 634-4797
- NPI assigned
- May 2, 2006
- Last updated
- Oct 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | 092842 | NY | |
| Mobile Radiology Clinic/Center | 261QR0208X | 626344 | NJ | Primary |
Addresses
Primary practice location
5 Hamilton PL
New York, NY 10031-6801
Mailing address
50 S Michigan Ave
Kenilworth, NJ 07033-1739
Phone (888) 964-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0064432 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 626344 | NJ | MD | Mobile Radiology Clinic/Center |
| 092842 | NY | MD | Mobile Radiology Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Mobile Radiology | Radiology, Mobile | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Kenilworth, NJ
- NPI 1154812949
Radiology, Mobile
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1063470920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S MICHIGAN AVE",
"city": "KENILWORTH",
"state": "NJ",
"postal_code": "070331739",
"telephone_number": "888-964-0088",
"fax_number": "917-634-4797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HAMILTON PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100316801",
"telephone_number": "908-884-0616",
"fax_number": "908-634-4797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERREIRA",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "RT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "NY",
"license": "092842",
"primary": false
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "NJ",
"license": "626344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0064432",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.