Hackensack Radiology Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

HACKENSACK RADIOLOGY CENTER LLC

Practice address

155 State St
Hackensack, NJ 07601-5419

Phone

(201) 968-5544

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Farukh Kamal

Title

Ceo

Phone

(201) 968-5544

Specialties & licenses 1

Addresses

Other names 1

• Affinity Radiology Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 6

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

• Judah Goldschmiedt, M.D.

  • Diagnostic Radiology Physician
  • Newark, NJ
  • NPI 1396065421
  Medicare reassignment Care Compare group NPD
• Thurairasah Vijayanathan, MD

  • Diagnostic Radiology Physician
  • West New York, NJ
  • NPI 1205808813
  Medicare reassignment Care Compare group NPD
• Stephen Jory Pomeranz, M.D.

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1285639690

  NJ

  Medicare reassignment Care Compare group NPD
• Michael Francis Shriver, MD

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1639602501

  NJ

  Medicare reassignment Care Compare group NPD
• Daniel Brian Lerer, M.D.

  • Diagnostic Radiology Physician
  • Teaneck, NJ
  • NPI 1316066228
  Medicare reassignment NPD
• Stephen Paul Toder, MD.

  • Diagnostic Radiology Physician
  • West Orange, NJ
  • NPI 1679671861
  Medicare reassignment NPD

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496361600000",
    "number": "1285006791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 STATE ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015419",
            "telephone_number": "201-968-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 STATE ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015419",
            "telephone_number": "201-968-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK RADIOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2017-06-02",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "FARUKH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-968-5544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hackensack Physicians Group LLC
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• Hackensack Psychiatric Group LLC
• Hackensack Quality Foot Care, P.a.
• Hackensack Radiation Therapy LLC
• Hackensack Radiology Group PA
• Hackensack Rehab Inc
• Hackensack Rheumatology LLC
• Hackensack Sleep & Pulmonary Center LLC
• Hackensack Sleep Center Partners LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.