Home Health Radiology Services LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

HOME HEALTH RADIOLOGY SERVICES LLC

Practice address

1211 Green St
Iselin, NJ 08830-2038

Phone

(732) 379-4755

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Hitendra Patel

Title

Owner

Phone

(732) 379-4755

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Home Health Radiology Services LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Iselin, NJ
  • NPI 1447272364

  7416055538

  Same PAC ID

Tax ID family

Home Health Radiology Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Home Health Radiology Services LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Iselin, NJ
  • NPI 1447272364
  NPD tax ID

Locations

Practitioners 2

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

• Saddad Zafar Toor, MD

  • Cardiovascular Disease Physician
  • Wayne, NJ
  • NPI 1649253998
  NPD
• Justin Q. Ly, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
  • NPI 1770560542
  NPD

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1093390080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 GREEN ST",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302038",
            "telephone_number": "732-379-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 GREEN ST",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302038",
            "telephone_number": "732-379-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH RADIOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HITENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-379-4755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739634",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Physiological Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.