Active NPI
Breast Imaging & Biopsy Specialists
- Diagnostic Radiology Physician
- Eatontown, NJ
National Provider Identifier
1245269935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228016 | Other | PTAN |
Other names 1
- HerSpace Breast Imaging
National Provider Directory
National Provider DirectoryLocations
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.