Organization Active NPI

First Choice Diagnostics Radiology

  • Specialist
  • Somerville, NJ
National Provider Identifier
1164851705
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06075200 Issued in NJ
Legal business name
FIRST CHOICE DIAGNOSTICS RADIOLOGY
Practice address
150 W End Ave
Suite 14
Somerville, NJ 08876
Phone
(908) 448-9108
Fax
(908) 279-1039
NPI assigned
Nov 4, 2013
Last updated
Mar 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Jessie Kane
Title
Credentialing Manager
Phone
(215) 932-2762

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA06075200 NJ Primary
Cardiovascular Disease Physician 207RC0000X NU
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

150 W End Ave
Suite 14
Somerville, NJ 08876

Mailing address

150 W End Ave
Suite 14
Somerville, NJ 08876-1834
Phone (908) 448-9108

Other practice location 1

30 Newbridge Rd Ste 200
East Meadow, NY 11554-2150
Phone (908) 448-9108

National Provider Directory

National Provider Directory

Locations

150 W End Ave
Ste 14
Somerville, NJ 08876
Phone (877) 328-7124

30 Newbridge Rd
#3
East Meadow, NY 11554
Phone (877) 238-7124

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1164851705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W END AVE",
            "address_2": "SUITE 14",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761834",
            "telephone_number": "908-448-9108",
            "fax_number": "908-279-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W END AVE",
            "address_2": "SUITE 14",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "08876",
            "telephone_number": "908-448-9108",
            "fax_number": "908-279-1039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Newbridge Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115542150",
            "country_code": "US",
            "telephone_number": "908-448-9108",
            "fax_number": "908-279-1039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST CHOICE DIAGNOSTICS RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "215-932-2762"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06075200",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.