NPIMap

Organization Active NPI

Joseph a Dicristofaro

Doing business as NuMed Imaging

  • Nuclear Medicine Technology Radiologic Technologist
  • Princeton, WV
National Provider Identifier
1073694287
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X
Legal business name
JOSEPH A DICRISTOFARO
Doing business as
NuMed Imaging
Practice address
100 New Hope Rd
Medical Arts Building Suite #12
Princeton, WV 24740
Phone
(304) 487-3160
Fax
(304) 487-3455
NPI assigned
Oct 17, 2006
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mr. Joseph Anthony Dicristofaro, RT. , CMNT
Title
Owner
Phone
(304) 487-3160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Technology Radiologic Technologist 2471N0900X Primary

Addresses

Primary practice location

100 New Hope Rd
Medical Arts Building Suite #12
Princeton, WV 24740

Mailing address

100 New Hope Rd
Medical Arts Building Suite #12
Princeton, WV 24740
Phone (304) 487-3160

Other identifiers 1

IdentifierTypeStateIssuer
0080053000MedicaidWV

Other names 1

  • NuMed Imaging Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1073694287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NEW HOPE RD",
            "address_2": "MEDICAL ARTS BUILDING SUITE #12",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "24740",
            "telephone_number": "304-487-3160",
            "fax_number": "304-487-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW HOPE RD",
            "address_2": "MEDICAL ARTS BUILDING SUITE #12",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "24740",
            "telephone_number": "304-487-3160",
            "fax_number": "304-487-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A DICRISTOFARO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "DICRISTOFARO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-487-3160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT.  , CMNT"
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080053000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuMed Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.