NPIMap

Organization Active NPI

Coastalspine Radiology

Doing business as Fellowship Imaging

  • Magnetic Resonance Imaging Radiologic Technologist
  • Mount Laurel, NJ
National Provider Identifier
1255529343
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
COASTALSPINE RADIOLOGY
Doing business as
Fellowship Imaging
Practice address
715 B Fellowship Road
Mount Laurel, NJ 08054
Phone
(856) 222-4444
Fax
(856) 222-4733
NPI assigned
Oct 15, 2007
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Marguerite Zoltek
Title
Billing Director
Phone
(856) 222-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X NJ Primary

Addresses

Primary practice location

715 B Fellowship Road
Mount Laurel, NJ 08054

Mailing address

715 B Fellowship Road
Mount Laurel, NJ 08054
Phone (856) 222-4444

Other names 1

  • Fellowship Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

1103 Laurel Oak Rd
Ste 160
Voorhees, NJ 08043
Phone (856) 435-1400

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1255529343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 B FELLOWSHIP ROAD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 B FELLOWSHIP ROAD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTALSPINE RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "ZOLTEK",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "856-222-4444"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fellowship Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.