NPIMap

Organization Active NPI

Hoboken Radiology, LLC

  • Radiology Clinic/Center
  • Hoboken, NJ
National Provider Identifier
1114957016
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
23188 Issued in NJ
Legal business name
HOBOKEN RADIOLOGY, LLC
Practice address
79 Hudson St
Suite 100
Hoboken, NJ 07030-5638
Phone
(201) 222-2500
Fax
(201) 469-0555
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary R Berger
Title
Administrator
Phone
(201) 222-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 23188 NJ Primary

Addresses

Primary practice location

79 Hudson St
Suite 100
Hoboken, NJ 07030-5638

Mailing address

79 Hudson St
Suite 100
Hoboken, NJ 07030-5638
Phone (201) 222-2500

Other identifiers 7

IdentifierTypeStateIssuer
0043001MedicaidNJ
2280953000OtherNHAMERIHEALTH HMO
A3197301OtherNJOXFORD
7013612OtherNJAETNA GOLDEN CHOICE/MEDIC
036754OtherNJCIGNA PPO
1600372OtherNJAMERIHEALTH PPO
3606490OtherNJAETNA HMO

National Provider Directory

National Provider Directory

Locations

79 Hudson St
Ste 100
Hoboken, NJ 07030
Phone (201) 222-2500

Practitioners & affiliated clinicians

Practitioners 9

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114957016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HUDSON ST",
            "address_2": "SUITE 100",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305638",
            "telephone_number": "201-222-2500",
            "fax_number": "201-469-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HUDSON ST",
            "address_2": "SUITE 100",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305638",
            "telephone_number": "201-222-2500",
            "fax_number": "201-469-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBOKEN RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-222-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "23188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2280953000",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A3197301",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GOLDEN CHOICE/MEDIC",
            "identifier": "7013612",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "036754",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "1600372",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3606490",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • 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.