Organization Active NPI

Pavonia Diagnostic Imaging, PA

  • Diagnostic Radiology Physician
  • Jersey City, NJ
National Provider Identifier
1124130703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PAVONIA DIAGNOSTIC IMAGING, PA
Practice address
600 Pavonia Ave
2ND Floor
Jersey City, NJ 07306
Phone
(201) 222-3225
Fax
(201) 499-0249
NPI assigned
Aug 31, 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
Romolo Maurizi, MDNPI 1437109030
Title
Owner
Phone
(201) 222-3225

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
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

600 Pavonia Ave
2ND Floor
Jersey City, NJ 07306

Mailing address

PO Box 8328
Jersey City, NJ 07308-8328
Phone (201) 222-3225

National Provider Directory

National Provider Directory

Locations

600 Pavonia Ave
Ste 9
Jersey City, NJ 07306
Phone (201) 222-3225

Practitioners & affiliated clinicians

Practitioners 3

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124130703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8328",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073088328",
            "telephone_number": "201-222-3225",
            "fax_number": "201-499-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE",
            "address_2": "2ND FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-222-3225",
            "fax_number": "201-499-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVONIA DIAGNOSTIC IMAGING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAURIZI",
        "authorized_official_first_name": "ROMOLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-222-3225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, 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.