Organization Active NPI

Breast Imaging & Biopsy Specialists

  • Diagnostic Radiology Physician
  • Eatontown, NJ
National Provider Identifier
1245269935
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BREAST IMAGING & BIOPSY SPECIALISTS
Doing business as
HerSpace Breast Imaging
Practice address
300 State Route 35
2ND Floor
Eatontown, NJ 07724-2216
Phone
(732) 571-9100
Fax
(732) 571-9650
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Mr. Larry D Rubin
Title
Cfo
Phone
(732) 571-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X NJ Primary

Addresses

Primary practice location

300 State Route 35
2ND Floor
Eatontown, NJ 07724-2216

Mailing address

300 State Route 35
2ND Floor
Eatontown, NJ 07724-2216
Phone (732) 571-9100

Other identifiers 1

IdentifierTypeStateIssuer
228016OtherPTAN

Other names 1

  • HerSpace Breast Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

187 State Route 36
Ste 130
West Long Branch, NJ 07764
Phone (732) 571-9100

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1245269935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ROUTE 35",
            "address_2": "2ND FLOOR",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242216",
            "telephone_number": "732-571-9100",
            "fax_number": "732-571-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ROUTE 35",
            "address_2": "2ND FLOOR",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242216",
            "telephone_number": "732-571-9100",
            "fax_number": "732-571-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST IMAGING & BIOPSY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-571-9100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "228016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HerSpace Breast Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.