NPIMap

Organization Active NPI

Alpha Scan Imaging, LLC

  • Diagnostic Radiology Physician
  • Wyckoff, NJ
National Provider Identifier
1073669545
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ALPHA SCAN IMAGING, LLC
Practice address
545 Goffle Rd
Wyckoff, NJ 07481-2971
Phone
(201) 689-2111
Fax
(201) 689-2117
NPI assigned
Jan 26, 2007
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Dr. Medhat Raouf, MD
Title
President
Phone
(973) 794-0053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

545 Goffle Rd
Wyckoff, NJ 07481-2971

Mailing address

60 Skyline Dr
Ringwood, NJ 07456-2039
Phone (973) 794-0053

National Provider Directory

National Provider Directory

Locations

545 Goffle Rd
Wyckoff, NJ 07481
Phone (201) 689-2111

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1073669545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SKYLINE DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562039",
            "telephone_number": "973-794-0053",
            "fax_number": "973-866-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 GOFFLE RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812971",
            "telephone_number": "201-689-2111",
            "fax_number": "201-689-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA SCAN IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "RAOUF",
        "authorized_official_first_name": "MEDHAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-794-0053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.