Active NPI
Douglas Mark Solonick, MD
- Diagnostic Radiology Physician
- East Brunswick, NJ
National Provider Identifier
1063498368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA03776700
- Practice address
- 579A Cranbury Rd
University Radiology Group PC
East Brunswick, NJ 08816 - Phone
- (732) 390-0040
- Fax
- (732) 390-1856
- NPI assigned
- Dec 19, 2005
- Last updated
- Jan 7, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA03776700 | NJ | Primary |
Addresses
Primary practice location
579A Cranbury Rd
University Radiology Group PC
East Brunswick, NJ 08816
Mailing address
579A Cranbury Rd
University Radiology Group PC
East Brunswick, NJ 08816
Phone (732) 390-0040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01150283 | Medicaid | NY | |
| 5110106 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillsborough Radiology Centers, LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030
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.
-
- Diagnostic Radiology Physician
- Hillsborough, NJ
- NPI 1912357674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1063498368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579A CRANBURY RD",
"address_2": "UNIVERSITY RADIOLOGY GROUP PC",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "732-390-0040",
"fax_number": "732-390-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579A CRANBURY RD",
"address_2": "UNIVERSITY RADIOLOGY GROUP PC",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "732-390-0040",
"fax_number": "732-390-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLONICK",
"first_name": "DOUGLAS",
"middle_name": "MARK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA03776700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01150283",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5110106",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.