Active NPI
Womens Mammography Ctr Corp
- Mammography Clinic/Center
- Flemington, NJ
National Provider Identifier
1356421747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- License
- 148064
- 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, 2009
- 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. John M Yetsko
- Title
- President
- Phone
- (908) 252-1880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.