NPIMap

Organization Active NPI

On-Site Medical Group PC

Doing business as Onsite Imaging Group

  • Vascular & Interventional Radiology Physician
  • Morganville, NJ
National Provider Identifier
1326301185
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
ON-SITE MEDICAL GROUP PC
Doing business as
Onsite Imaging Group
Onsite Vascular Group
Practice address
50 US Highway 9 North, Suite 102
Grosso Office Park
Morganville, NJ 07751-1558
Phone
(732) 580-0660
NPI assigned
Jun 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Svetlana Bakshiyeva
Title
Managing
Phone
(732) 580-0660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

50 US Highway 9 North, Suite 102
Grosso Office Park
Morganville, NJ 07751-1558

Mailing address

50 US Highway 9 North, Suite 108
Grosso Office Park
Morganville, NJ 07751-1558

Other names 2

  • Onsite Imaging Group Doing business as
  • Onsite Vascular Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190613003084 NJ Part B Supplier - Clinic/Group Practice 2769715374 Receives reassigned benefits from 5 practitioners
Practice locations: Morganville, NJ

National Provider Directory

National Provider Directory

Locations

50 US Highway 9
Ste 102
Morganville, NJ 07751
Phone (732) 490-5939

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": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1326301185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 US HIGHWAY 9 NORTH, SUITE 108",
            "address_2": "GROSSO OFFICE PARK",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 US HIGHWAY 9 NORTH, SUITE 102",
            "address_2": "GROSSO OFFICE PARK",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511558",
            "telephone_number": "732-580-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "BAKSHIYEVA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "MANAGING",
        "authorized_official_telephone_number": "732-580-0660"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onsite Imaging Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Onsite Vascular Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Onsite Vascular Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.