University Radiology Group, LLC
Organization Active NPI Diagnostic Radiology Physician · East Brunswick, NJ
NPI 1154367803 · NPPES record last updated Mar 31, 2022
Key facts
- NPI
- 1154367803
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- UNIVERSITY RADIOLOGY GROUP, LLC
- Practice address
- 483 Cranbury Rd
East Brunswick, NJ 08816-3610 - Phone
- (732) 390-0040
- Fax
- (732) 390-5383
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert E Epstein, MD
- Title
- Chairman
- Phone
- (732) 390-0040
Member organizations 2
Practitioners 281
-
Saira Ahmad, M.D
-
Anum Aslam, MD
-
Howard Brent, MD
-
Kevin K Chu, MD
-
Neena David, MD
-
Marian Gaballah, D.O.
-
Samar J Hajj, M.D.
-
Reza Hayeri, M.D.
-
Jiyoon Kang, DO
-
Daniel Lee, MD
-
Cyril Rosenfeld, M.D.
-
Andrew Soliman, M.D.
-
Joseph Sparapani, MD
-
Haokang Wei, MD
-
Robert M White, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0874433 | University Radiology Group PC | Certificate of waiver | Aug 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (25 enrollments) in NJ, CA, WA, CO, NY, TX, IL, CT, FL, PA, MA, IN, ME, NE, DC, MO, SC, AZ, NC, IA, VT, MI, WI, HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040331001432 | NJ | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 239 practitioners Practice locations: New Brunswick, NJ; Nutley, NJ; Old Bridge, NJ; Paramus, NJ; Perth Amboy, NJ; Riverdale, NJ; Somerset, NJ; Edison, NJ… |
| O20040501000035 | NJ | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 244 practitioners Practice locations: Toms River, NJ; S, Manasquan, NJ; Point Pleasant Boro, NJ; Long Branch, NJ; Oakhurst, NJ; Lakewood, NJ; Freehold, NJ; Forked River, NJ… |
| O20140513001937 | CA | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 5 practitioners Practice locations: Davis, CA; Folsom, CA; Orange, CA; San Diego, CA; Truckee, CA |
| O20140616002263 | WA | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 4 practitioners Practice locations: Seattle, WA; Tacoma, WA; Burien, WA |
| O20140825000039 | CO | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 3 practitioners Practice locations: Fraser, CO; Longmont, CO; Wheat Ridge, CO |
| O20141215000207 | NY | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 16 practitioners Practice locations: Shelter Island, NY; Rye, NY; Roslyn, NY; Rhinebeck, NY; Pleasantville, NY; New York, NY; Mineola, NY; Manhasset, NY… |
| O20150304000352 | TX | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 3 practitioners Practice locations: Helotes, TX; Leander, TX; San Antonio, TX |
| O20150313001262 | IL | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Morton, IL |
| O20150325000300 | CT | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 4 practitioners Practice locations: Cos Cob, CT; Darien, CT; West Hartford, CT; Westport, CT |
| O20150416000907 | FL | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 7 practitioners Practice locations: Gulf Breeze, FL; Miami, FL; Miami Beach, FL; Naples, FL; Palm Beach Gardens, FL; Winter Park, FL; Cooper City, FL |
| O20160912001535 | PA | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 8 practitioners Practice locations: Wayne, PA; Villanova, PA; Plymouth Meeting, PA; Philadelphia, PA; Newtown Square, PA; Newtown, PA |
| O20180809001172 | MA | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Shrewsbury, MA |
| O20201009001656 | IN | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Newburgh, IN |
| O20210930002907 | ME | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Cumberland, ME |
| O20220928002729 | NE | Part B Supplier - Clinic/Group Practice | 6608868500 | Practice locations: Nebraska City, NE |
| O20230421000202 | DC | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Washington, DC |
| O20230913002818 | MO | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 3 practitioners Practice locations: Saint Louis, MO; Saint Robert, MO |
| O20241022001751 | SC | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Hilton Head, SC |
| O20250225001698 | AZ | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Phoenix, AZ |
| O20250307001556 | NC | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Holly Springs, NC |
| O20250605000722 | IA | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Keokuk, IA |
| O20250710000542 | VT | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Burlington, VT |
| O20250828003801 | MI | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Royal Oak, MI |
| O20251014000913 | WI | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: New Berlin, WI |
| O20251120000830 | HI | Part B Supplier - Clinic/Group Practice | 6608868500 |
Receives reassigned benefits from 1 practitioner Practice locations: Honolulu, HI |
National Provider Directory
Locations
833 Lacey Rd
Ste 1
Forked River, NJ 08731
Phone (609) 242-2334
264 Amboy Ave
Metuchen, NJ 08840
Phone (732) 548-2322
3 Hospital Plz
Ste LL4
Old Bridge, NJ 08857
Phone (732) 360-9777
44 State Rt 23
Ste G
Riverdale, NJ 07457
2 Worlds Fair Dr
Ste 102
Somerset, NJ 08873
150 Theodore Fremd Ave
Rye, NY 10580
Phone (914) 967-5170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician |
2085B0100X | |||
| Diagnostic Neuroimaging (Radiology) Physician |
2085D0003X | |||
| Neuroradiology Physician |
2085N0700X | |||
| Nuclear Radiology Physician |
2085N0904X | |||
| Pediatric Radiology Physician |
2085P0229X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Diagnostic Ultrasound Physician |
2085U0001X |
Addresses
Primary practice location
483 Cranbury Rd
East Brunswick, NJ 08816-3610
Mailing address
579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone (732) 390-0040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2606607 | Medicaid | NJ |
Other providers in East Brunswick, NJ
- United Foot and Ankle, Inc
- United Healthcare Speciality RX
- Universal Hearing LLC
- University Children'S Eye Center, PC
- University Foot & Ankle Center
- Natasha Upadhyaya
- Vijay Lakshmi Uppal
- Urogynecology Arts of New Jersey, P.a.
- Saeid Vahidi
- Jane Catherine Valavi
All providers in East Brunswick, NJ · Diagnostic Radiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.