NPIMap

Organization Active NPI

North Jersey Diagnostics Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Wayne, NJ
National Provider Identifier
1205930724
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
NORTH JERSEY DIAGNOSTICS CENTER, LLC
Practice address
500 Valley Rd
Suite 101
Wayne, NJ 07470
Phone
(973) 595-7500
Fax
(973) 595-7770
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Mr. Giacomo Longo
Title
Administrator
Phone
(973) 595-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

500 Valley Rd
Suite 101
Wayne, NJ 07470

Mailing address

500 Valley Rd
Suite 101
Wayne, NJ 07470
Phone (973) 595-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050629000048 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5890731079 Practice locations: Wayne, NJ

Comprehensive outpatient rehabilitation facility certification: CCN 314514

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NORTH JERSEY DIAGNOSTICS CENTER LLC
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Jun 25, 2003
Last certification
Feb 16, 2021
Ownership / control type
Proprietary
Facility address
500 Valley Road, Suite 101
Wayne, NJ 07470

National Provider Directory

National Provider Directory

Locations

601 Hamburg Tpke
Ste 200
Wayne, NJ 07470
Phone (973) 595-7500

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1205930724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VALLEY RD",
            "address_2": "SUITE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-595-7500",
            "fax_number": "973-595-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VALLEY RD",
            "address_2": "SUITE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-595-7500",
            "fax_number": "973-595-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY DIAGNOSTICS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "LONGO",
        "authorized_official_first_name": "GIACOMO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-595-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.