NPIMap

Organization Active NPI

Englewood Imaging Center, PA

  • Diagnostic Radiology Physician
  • Tenafly, NJ
National Provider Identifier
1285676726
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ENGLEWOOD IMAGING CENTER, PA
Practice address
220 Oxford Dr
Tenafly, NJ 07670-3118
Phone
(201) 567-6156
Fax
(201) 871-8708
NPI assigned
Jun 11, 2006
Last updated
Apr 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Dr. Jack Lawrence Baldassare, MDNPI 1225070121
Title
Medical Directtor
Phone
(201) 567-6156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

220 Oxford Dr
Tenafly, NJ 07670-3118

Mailing address

220 Oxford Dr
Tenafly, NJ 07670-3118
Phone (201) 567-6156

Other identifiers 1

IdentifierTypeStateIssuer
2956900MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1285676726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 OXFORD DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703118",
            "telephone_number": "201-567-6156",
            "fax_number": "201-871-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 OXFORD DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703118",
            "telephone_number": "201-567-6156",
            "fax_number": "201-871-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD IMAGING CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "BALDASSARE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTTOR",
        "authorized_official_telephone_number": "201-567-6156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2956900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.