Active NPI
Martin I Parker, M.D.
- Diagnostic Radiology Physician
- Edison, NJ
National Provider Identifier
1295715688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA02766900
- Practice address
- 65 James St
Edison Radiology Group, PA
Edison, NJ 08820-3947 - Phone
- (732) 321-7917
- Fax
- (732) 767-2968
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA02766900 | NJ | Primary |
Addresses
Primary practice location
65 James St
Edison Radiology Group, PA
Edison, NJ 08820-3947
Mailing address
65 James St
Edison Radiology Group, PA
Edison, NJ 08820-3947
Phone (732) 321-7917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0327701 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open MRI of Perth Amboy, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1295715688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 JAMES ST",
"address_2": "EDISON RADIOLOGY GROUP, PA",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203947",
"telephone_number": "732-321-7917",
"fax_number": "732-767-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 JAMES ST",
"address_2": "EDISON RADIOLOGY GROUP, PA",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203947",
"telephone_number": "732-321-7917",
"fax_number": "732-767-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MARTIN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA02766900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0327701",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.