Emergency Mobile Radiology

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

EMERGENCY MOBILE RADIOLOGY

Practice address

50 S Michigan Ave
Kenilworth, NJ 07033-1739

Phone

(908) 884-0616

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Jose L Ferreira Sr., RTNPI 1063470920

Title

Owner

Phone

(908) 884-0616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Luis Ferreira Sr., RT

  • Mobile Radiology Clinic/Center
  • New York, NY
  • NPI 1063470920

  Radiology, Mobile

  NPD Authorized official

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1154812949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S MICHIGAN AVE",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331739",
            "telephone_number": "908-884-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MICHIGAN AVE",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331739",
            "telephone_number": "908-884-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MOBILE RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "FERREIRA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-884-0616",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dobrowolski, PA
• Jeffannie Krystel Tan Duan
• Justin Daryl A Duan
• East Coast Rehabilitation Services LLC
• Elvira Anselmi, PHD, PC
• Yesenia Fermin, MSW, LCSW
• Lois G Fiore, OD
• Jerome Scott Forman, D.M.D.
• Andrea J Frank, D O P C
• Jay Murray Gilden, DC

• All providers in Kenilworth, NJ
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.