Premier Pet Imaging of New Jersey Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

261Q00000X Issued in NJ

Legal business name

PREMIER PET IMAGING OF NEW JERSEY INC.

Practice address

119 Cherry Hill Rd
Suite 100
Parsippany, NJ 07054-1117

Phone

(973) 394-0455

Fax

(973) 394-0456

NPI assigned

Apr 18, 2006

Last updated

Oct 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George Mahoney II

Title

Chief Financial Officer

Phone

(561) 447-0046

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1215992953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010343",
            "telephone_number": "316-262-2015",
            "fax_number": "316-262-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CHERRY HILL RD",
            "address_2": "SUITE 100",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541117",
            "telephone_number": "973-394-0455",
            "fax_number": "973-394-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PET IMAGING OF NEW JERSEY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "561-447-0046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "261Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052370",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00105394",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janel Victoria Post, APN
• Andrew William Potts, ATC, LAT
• Kiran Devaiah Poylangada, DPM
• Jay Prajapati, PHAMRD
• Sandhya C Praveen Sr.
• Premise Health of New Jersey Medical PC (New York Live Investment Management)
• Premise Health of New Jersey Medical PC (NJM Parsippany Clinic)
• Donna L Preziosi, LCSW
• Pride Day Program Eclc of NJ
• Primary Care Partners, LLC (Rainbow Pediatrics - Primary Care Partners Affiliate)

• Clinic/Center in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.