Organization Active NPI

MD Mobile LLC

  • Mobile Radiology Clinic/Center
  • Highlands, NJ
National Provider Identifier
1063516631
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
MA073751 Issued in NJ
Legal business name
MD MOBILE LLC
Practice address
1 Scenic Dr
Suite 907
Highlands, NJ 07732-1329
Phone
(201) 788-4962
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Raluca Coyle, MD
Title
Owner
Phone
(201) 585-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X MA073751 NJ Primary

Addresses

Primary practice location

1 Scenic Dr
Suite 907
Highlands, NJ 07732-1329

Mailing address

1 Scenic Dr
Suite 907
Highlands, NJ 07732-1329
Phone (201) 788-4962

Other names 1

  • Vasonix Doing business as

National Provider Directory

National Provider Directory

Locations

3701 US Highway 9
Howell, NJ 07731
Phone (732) 364-4555

579 Bergen Blvd
Ridgefield, NJ 07657
Phone (201) 941-1444

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063516631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCENIC DR",
            "address_2": "SUITE 907",
            "city": "HIGHLANDS",
            "state": "NJ",
            "postal_code": "077321329",
            "telephone_number": "201-788-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCENIC DR",
            "address_2": "SUITE 907",
            "city": "HIGHLANDS",
            "state": "NJ",
            "postal_code": "077321329",
            "telephone_number": "201-788-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "RALUCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-585-5170",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NJ",
            "license": "MA073751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vasonix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.