Organization Active NPI

Stat Radiology LLC

  • Radiology Clinic/Center
  • Toms River, NJ
National Provider Identifier
1164428330
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
STAT RADIOLOGY LLC
Practice address
25 Mule Rd
Ste B5&B6
Toms River, NJ 08755-5035
Phone
(732) 240-1011
Fax
(732) 240-3309
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Chandru U Jain, M.D.
Title
Partner
Phone
(732) 240-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

25 Mule Rd
Ste B5&B6
Toms River, NJ 08755-5035

Mailing address

1166 River Ave
Ste 102
Lakewood, NJ 08701-5600
Phone (732) 364-9565

Other names 1

  • Dover Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brick Imaging3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 Mule Rd
Ste B5B6
Toms River, NJ 08755
Phone (732) 240-1011

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1164428330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 RIVER AVE",
            "address_2": "STE 102",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015600",
            "telephone_number": "732-364-9565",
            "fax_number": "732-364-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MULE RD",
            "address_2": "STE B5&B6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555035",
            "telephone_number": "732-240-1011",
            "fax_number": "732-240-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "CHANDRU",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-240-1011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dover Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.