Active NPI
Hudson River Imaging LLC
- Mammography Clinic/Center
- Jersey City, NJ
National Provider Identifier
1346057106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- Legal business name
- HUDSON RIVER IMAGING LLC
- Practice address
- 550 Newark Ave Ste 102
Jersey City, NJ 07306-1353 - Phone
- (908) 499-0799
- NPI assigned
- Dec 16, 2024
- 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
- Mr. Garry Dale
- Title
- Office Manager
- Phone
- (617) 316-6776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Clinic/Center | 261QR0206X | Primary |
Addresses
Primary practice location
550 Newark Ave Ste 102
Jersey City, NJ 07306-1353
Mailing address
550 Newark Ave Ste 102
Jersey City, NJ 07306-1353
Phone (908) 499-0799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250508001802 | NJ | Part B Supplier - Mammography Center | 5294252649 | Practice locations: Jersey City, NJ |
National Provider Directory
National Provider DirectoryLocations
550 Newark Ave
Ste 102
Jersey City, NJ 07306
Phone (908) 499-0799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1346057106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 NEWARK AVE STE 102",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061353",
"telephone_number": "908-499-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 NEWARK AVE STE 102",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061353",
"telephone_number": "908-499-0799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON RIVER IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-16",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A",
"authorized_official_last_name": "DALE",
"authorized_official_first_name": "GARRY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "617-316-6776",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
- Hudson Oncology Hematology
- Hudson Oral Health Care Associate
- Hudson Podiatry Center, PC
- Hudson Primary Care Professionals
- Hudson Pulmonary and Critical Care, LLC
- Hudson Surgeons PA
- Hudson Surgery Center, LLC (Surgery Center of Jersey City)
- Hudson Surgical Group PC
- Hudson Therapy, LLC
- Hudson Therapy, LLC (Therapro, LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.