Organization Active NPI

Robert Wood Johnson Jr Lifestyle Institute Inc

Doing business as JFK Advanced Medical Imaging of Toms River

  • Radiology Clinic/Center
  • Toms River, NJ
National Provider Identifier
1306382254
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC
Doing business as
JFK Advanced Medical Imaging of Toms River
Practice address
1430 Hooper Avenue
#102
Toms River, NJ 08753
Phone
(732) 349-2867
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Richard C Smith
Title
Cfo
Phone
(732) 321-7747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1430 Hooper Avenue
#102
Toms River, NJ 08753

Mailing address

80 James St
Edison, NJ 08820-3938
Phone (732) 321-7000

Other names 1

  • JFK Advanced Medical Imaging of Toms River Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1306382254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203938",
            "telephone_number": "732-321-7000",
            "fax_number": "732-318-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HOOPER AVENUE",
            "address_2": "#102",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "732-349-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-321-7747"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JFK Advanced Medical Imaging of Toms River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.