Organization Active NPI

Urgent Radiology Services PC

  • Diagnostic Radiology Physician
  • Howell, NJ
National Provider Identifier
1083974703
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
URGENT RADIOLOGY SERVICES PC
Practice address
405 Candlewood Commons
Howell, NJ 07731-2171
Phone
(631) 240-2287
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Paul Bonheim, MD
Title
Director
Phone
(631) 240-2287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

405 Candlewood Commons
Howell, NJ 07731-2171

Mailing address

405 Candlewood Commons
Howell, NJ 07731-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131204000873 NJ Part B Supplier - Clinic/Group Practice 9830325497 Receives reassigned benefits from 1 practitioner
Practice locations: Howell, NJ
O20140718001040 NY Part B Supplier - Clinic/Group Practice 9830325497 Receives reassigned benefits from 1 practitioner
Practice locations: Woodmere, NY

National Provider Directory

National Provider Directory

Locations

1008 Central Ave
Ste 1000
Woodmere, NY 11598
Phone (347) 370-2490

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1083974703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CANDLEWOOD COMMONS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CANDLEWOOD COMMONS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312171",
            "telephone_number": "631-240-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT RADIOLOGY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "BONHEIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-240-2287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.