Bergenline X Ray Diagnostic Center Corp

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BERGENLINE X RAY DIAGNOSTIC CENTER CORP

Practice address

402 43Rd St
Union City, NJ 07087-5010

Phone

(201) 348-6060

Fax

(201) 348-2064

NPI assigned

Apr 14, 2008

Last updated

Aug 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pedro Rodriguez

Title

President/Ceo

Phone

(201) 348-6060

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Romolo A. Maurizi, M.D.

  • Diagnostic Radiology Physician
  • Jersey City, NJ
  • NPI 1437109030
  Medicare reassignment NPD

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1073787826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 43RD ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875010",
            "telephone_number": "201-348-6060",
            "fax_number": "201-348-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 43RD ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875010",
            "telephone_number": "201-348-6060",
            "fax_number": "201-348-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGENLINE X RAY DIAGNOSTIC CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "201-348-6060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "23058",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergenline Dental Group
• Bergenline Foot Care LLC
• Bergenline Medical Supply Inc
• Bergenline Meds LLC (Hines Pharmacy)
• Bergenline Smiles PC
• Estefania Monserrat Bermeo-Paredes, MA
• Gabriela Bernat, PHARMD
• Best Home Aid Corp
• Best Quality Dental Lab Inc
• Ruchi Bhuju, MD

• Diagnostic Radiology Physician in Union City, NJ
• Providers in Union City, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.