Organization Active NPI

Womens Mammography Ctr Corp

  • Mammography Clinic/Center
  • Flemington, NJ
National Provider Identifier
1356421747
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
148064 Issued in NJ
Legal business name
WOMENS MAMMOGRAPHY CTR CORP
Practice address
121 State Route 31
Flemington, NJ 08822-5744
Phone
(908) 782-4700
Fax
(908) 237-9210
NPI assigned
Oct 17, 2006
Last updated
Jan 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Mr. John M Yetsko
Title
President
Phone
(908) 252-1880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X 148064 NJ Primary

Addresses

Primary practice location

121 State Route 31
Flemington, NJ 08822-5744

Mailing address

121 State Route 31
Flemington, NJ 08822-5744
Phone (908) 782-4700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1356421747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 STATE ROUTE 31",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225744",
            "telephone_number": "908-782-4700",
            "fax_number": "908-237-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 STATE ROUTE 31",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225744",
            "telephone_number": "908-782-4700",
            "fax_number": "908-237-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS MAMMOGRAPHY CTR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "YETSKO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-252-1880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NJ",
            "license": "148064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.