Organization Active NPI

Hudson River Radiology Center LLC

  • Diagnostic Radiology Physician
  • Union City, NJ
National Provider Identifier
1184656829
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23951 Issued in NJ
Legal business name
HUDSON RIVER RADIOLOGY CENTER LLC
Practice address
120-152 48TH Street
Union City, NJ 07087
Phone
(201) 330-1606
Fax
(201) 330-7622
NPI assigned
Jul 6, 2006
Last updated
Aug 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Mr. Feras Jaloudi
Title
President
Phone
(201) 656-5050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 23951 NJ
Diagnostic Radiology Physician 2085R0202X 23951 NJ Primary

Addresses

Primary practice location

120-152 48TH Street
Union City, NJ 07087

Mailing address

PO Box 1814
Englewood Cliffs, NJ 07632
Phone (201) 656-5050

Other identifiers 3

IdentifierTypeStateIssuer
0516872MedicaidNJ
094715OtherNJPTAN
0071561MedicaidNJ

National Provider Directory

National Provider Directory

Locations

547 Summit Ave
Jersey City, NJ 07306
Phone (201) 656-5050

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1184656829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1814",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "07632",
            "telephone_number": "201-656-5050",
            "fax_number": "800-706-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120-152 48TH STREET",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-330-1606",
            "fax_number": "201-330-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON RIVER RADIOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "JALOUDI",
        "authorized_official_first_name": "FERAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-656-5050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "23951",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "23951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0516872",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "094715",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071561",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.