Organization Active NPI

Palisades Radiology Associates

  • Radiology Clinic/Center
  • North Bergen, NJ
National Provider Identifier
1124057773
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PALISADES RADIOLOGY ASSOCIATES
Practice address
7600 River Road
North Bergen, NJ 07047
Phone
(856) 616-8100
Fax
(856) 616-1919
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Robert S Port, MDNPI 1932208568
Title
Chairman of Radiology
Phone
(856) 616-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7600 River Road
North Bergen, NJ 07047

Mailing address

PO Box 5075
Cherry Hill, NJ 08034-5075
Phone (856) 616-8100

Other identifiers 1

IdentifierTypeStateIssuer
0037664MedicaidNJ

National Provider Directory

National Provider Directory

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1124057773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5075",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080345075",
            "telephone_number": "856-616-8100",
            "fax_number": "856-616-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RIVER ROAD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "856-616-8100",
            "fax_number": "856-616-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "PORT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHAIRMAN OF RADIOLOGY",
        "authorized_official_telephone_number": "856-616-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037664",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.