Noa Diagnostics of PA LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

NOA DIAGNOSTICS OF PA LLC

Practice address

100 Wood Ave S
Suite 110
Iselin, NJ 08830-2727

Phone

(516) 986-2700

Fax

(516) 986-2710

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Evan Jasser

Title

President

Phone

(516) 986-2700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1124421870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 JERICHO TPKE",
            "address_2": "SUITE 150",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914494",
            "telephone_number": "516-986-2700",
            "fax_number": "516-986-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOOD AVE S",
            "address_2": "SUITE 110",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302727",
            "telephone_number": "516-986-2700",
            "fax_number": "516-986-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOA DIAGNOSTICS OF PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "JASSER",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-986-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Mobile Radiology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.