1450 Associates, LLC
Organization Active NPI Radiology Clinic/Center · Vineland, NJ
NPI 1083660179 · NPPES record last updated Aug 17, 2018
Key facts
- NPI
- 1083660179
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- License
- 23263 (NJ)
- Legal business name
- 1450 ASSOCIATES, LLC
- Practice address
- 1450 E. Chestnut Ave
BLDG 4
Vineland, NJ 08361-8467 - Phone
- (856) 794-1700
- Fax
- (856) 794-2671
- NPI assigned
- May 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Satish Shah, MD
- Title
- Managing Member
- Phone
- (856) 794-1700
Practitioners 4
-
Michael Villani, M.D.
-
Donald Underwood, DO
National Provider Directory
Locations
245 Laurel Heights Dr
Bridgeton, NJ 08302
Phone (856) 455-6600
1450 E Chestnut Ave
Bldg 4
Vineland, NJ 08361
Phone (856) 794-1700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 23263 | NJ | Yes |
Addresses
Primary practice location
1450 E. Chestnut Ave
BLDG 4
Vineland, NJ 08361-8467
Mailing address
1450 E. Chestnut Ave
BLDG 4
Vineland, NJ 08361-8467
Phone (856) 794-1700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077 | Other | CARECORE/HEALTHNET | |
| A2891314 | Other | OXFORD | |
| 2K3084 | Other | HEALTHNET | |
| 1156711 | Other | HORIZON NJ HEALTH | |
| 01000441401 | Other | AMERICHOICE | |
| CJ3996 | Other | NJ | RAILROAD MEDICARE |
| 8667802 | Medicaid | NJ | |
| 2237566000 | Other | AMERIHEALTH | |
| S036559 | Other | CIGNA/AIM | |
| 16802 | Other | AMERIGROUP |
Other names
- Center for Diagnostic Imaging
Other providers in Vineland, NJ
- 1 Source Medical, LLC
- 1450 Associates LLC
- 1450 Associates, LLC
- 1450 Associates, LLC
- A & a Dermatology Associate PA
- A Better Home Care LLC
- A Second Touch
All providers in Vineland, NJ · Radiology Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.