Harbor Medical Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

22958 Issued in NJ

Legal business name

HARBOR MEDICAL IMAGING, LLC

Doing business as

Harbor Medical Imaging

Practice address

127 Montgomery St
Jersey City, NJ 07302-3616

Phone

(201) 200-9700

Fax

(201) 200-9591

NPI assigned

Dec 23, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Ivette Cuevas, RN

Title

Executive Administator

Phone

(732) 721-5501

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Harbor Medical Imaging Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Israel Frank Rebarber, M.D.

  • Diagnostic Radiology Physician
  • Edison, NJ
  • NPI 1538149935
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083691752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BORDENTOWN AVE",
            "address_2": "BOX 2A",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791544",
            "telephone_number": "732-721-5501",
            "fax_number": "732-721-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023616",
            "telephone_number": "201-200-9700",
            "fax_number": "201-200-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTATOR",
        "authorized_official_telephone_number": "732-721-5501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "22958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8963207",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH/HUMAN SER",
            "identifier": "22958",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in Jersey City, NJ
• Providers in Jersey 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 22, 2020; 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.