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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba JFK Community Medical Group
- Family Medicine Physician
- Edison, NJ
- NPI 1356016661
Member Of
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.