NPIMap

Organization Active NPI

Regional Radiology LLC

  • Diagnostic Radiology Physician
  • Cinnaminson, NJ
National Provider Identifier
1124222328
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22772 Issued in NJ
Legal business name
REGIONAL RADIOLOGY LLC
Practice address
2800 Route 130 N
Suite 202
Cinnaminson, NJ 08077-3035
Phone
(856) 786-7044
Fax
(856) 786-7079
NPI assigned
Jun 12, 2007
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
Renee Anthony
Title
Credentialing
Phone
(856) 829-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 22772 NJ Primary

Addresses

Primary practice location

2800 Route 130 N
Suite 202
Cinnaminson, NJ 08077-3035

Mailing address

2800 Route 130 N
Suite 200
Cinnaminson, NJ 08077-3035
Phone (856) 829-4555

National Provider Directory

National Provider Directory

Locations

2800 Route 130 N
Ste 200
Cinnaminson, NJ 08077
Phone (856) 829-4555

2800 Route 130 N
Ste 100
Cinnaminson, NJ 08077
Phone (609) 479-1117

Practitioners & affiliated clinicians

Practitioners 12

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124222328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ROUTE 130 N",
            "address_2": "SUITE 200",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773035",
            "telephone_number": "856-829-4555",
            "fax_number": "856-829-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ROUTE 130 N",
            "address_2": "SUITE 202",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773035",
            "telephone_number": "856-786-7044",
            "fax_number": "856-786-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "856-829-4555"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "22772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, 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.