Organization Active NPI

Innovative Health Solutions

  • Mobile Radiology Clinic/Center
  • Colonia, NJ
National Provider Identifier
1083330344
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
INNOVATIVE HEALTH SOLUTIONS
Practice address
92 W Hill Rd
Colonia, NJ 07067-3811
Phone
(718) 844-4333
NPI assigned
Oct 18, 2022
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Marben Casem Blanco
Title
Ceo/Partner
Phone
(718) 844-4333

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X
Mobile Mammography Clinic/Center 261QR0207X
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

92 W Hill Rd
Colonia, NJ 07067-3811

Mailing address

92 W Hill Rd
Colonia, NJ 07067-3811
Phone (718) 844-4333

National Provider Directory

National Provider Directory

Locations

3418 Northern Blvd
#436
Long Island City, NY 11101

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1083330344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 W HILL RD",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673811",
            "telephone_number": "718-844-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W HILL RD",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673811",
            "telephone_number": "718-844-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "MARBEN",
        "authorized_official_middle_name": "CASEM",
        "authorized_official_title_or_position": "CEO/PARTNER",
        "authorized_official_telephone_number": "718-844-4333"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.