Jersey Diagnostic Imaging, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

1325977 Issued in NJ

Legal business name

JERSEY DIAGNOSTIC IMAGING, LLC

Practice address

929 N Wood Ave
Linden, NJ 07036-4039

Phone

(908) 241-5222

Fax

(908) 241-0332

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Danuta Wasilczuk

Title

Owner

Phone

(908) 241-5222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jersey Diagnostic Imaging, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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

• Vandna Prasad Bar, M.D.

  • Diagnostic Radiology Physician
  • Berkeley Heights, NJ
  • NPI 1881836815
  NPD
• Alicia L Daniels, M.D.

  • Diagnostic Radiology Physician
  • Berlin, NJ
  • NPI 1831186733
  NPD
• Natalio Damien Jr., MD

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
  • NPI 1629097985
  NPD

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1295968154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364039",
            "telephone_number": "908-241-5222",
            "fax_number": "908-241-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364039",
            "telephone_number": "908-241-5222",
            "fax_number": "908-241-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY DIAGNOSTIC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "WASILCZUK",
        "authorized_official_first_name": "DANUTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-241-5222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NJ",
            "license": "1325977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212121",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Diagnostic Imaging, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacek Grzybowski MD LLC
• Lisa M Jackson
• Carlos Jaramillo
• Shieldy Jean Louis, RN
• Rachele Jeanlouis
• Mieczyslaw Z Jez, MD
• Jorge D Quintana MD
• Annette Josaphat
• Marie Dana Jules, LCSW
• Julies Home Health Aid Agency LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.