NPIMap

Organization Active NPI

American Imaging Center of West Orange LLC

  • Radiology Clinic/Center
  • West Orange, NJ
National Provider Identifier
1306944657
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
22601 Issued in NJ
Legal business name
AMERICAN IMAGING CENTER OF WEST ORANGE LLC
Practice address
61 Main St
West Orange, NJ 07052-5311
Phone
(973) 669-1989
Fax
(973) 669-0081
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Joseph M Testari
Title
Chief Operations Officer
Phone
(973) 669-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 22601 NJ Primary

Addresses

Primary practice location

61 Main St
West Orange, NJ 07052-5311

Mailing address

61 Main St
West Orange, NJ 07052-5311
Phone (973) 669-1989

Other identifiers 2

IdentifierTypeStateIssuer
22099OtherNJBCBS
0882003MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306944657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525311",
            "telephone_number": "973-669-1989",
            "fax_number": "973-669-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525311",
            "telephone_number": "973-669-1989",
            "fax_number": "973-669-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN IMAGING CENTER OF WEST ORANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TESTARI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "973-669-1989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "22601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22099",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0882003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.