Millburn Medical Imaging, PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

22950 Issued in NJ

Legal business name

MILLBURN MEDICAL IMAGING, PA

Practice address

2130 Millburn Avenue
Maplewood, NJ 07040

Phone

(973) 912-0404

Fax

(973) 912-0444

NPI assigned

May 23, 2006

Last updated

May 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Neshibal

Title

Authorized Official

Phone

(973) 912-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Rosovsky, MD

  • Diagnostic Radiology Physician
  • Shelton, CT
  • NPI 1851329221
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1356396873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MILLBURN AVENUE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "07040",
            "telephone_number": "973-912-0404",
            "fax_number": "973-912-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MILLBURN AVENUE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "07040",
            "telephone_number": "973-912-0404",
            "fax_number": "973-912-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBURN MEDICAL IMAGING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "NESHIBAL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "973-912-0404"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "22950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3443809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metropolitan OB/GYN, P.a.
• Metropolitan OBGYN
• Amy Frances Miano, LCSW
• Michael Goldfarb,M.D. P.a.
• Gabriel Milgrom
• Cheron Darlene Miller Roche, OT/L
• Catherine Lillianne Miller, DO
• Mind Your Thoughts
• Mindset Psychotherapy Center
• Sevil H Modeste

• Diagnostic Radiology Physician in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

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