Organization Active NPI

Imaging Subspecialists of North Jersey, LLC

  • Diagnostic Radiology Physician
  • Paterson, NJ
National Provider Identifier
1366428153
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
IMAGING SUBSPECIALISTS OF NORTH JERSEY, LLC
Practice address
703 Main St
Paterson, NJ 07503-2621
Phone
(973) 754-2645
NPI assigned
Dec 22, 2005
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Frank Yuppa, MDNPI 1912994484
Title
President
Phone
(800) 927-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NJ Primary

Addresses

Primary practice location

703 Main St
Paterson, NJ 07503-2621

Mailing address

PO Box 3607
Evansville, IN 47735-3607
Phone (800) 467-2392

Other identifiers 1

IdentifierTypeStateIssuer
9053107MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL, PA, TX, NY, IL, UT, WA, CA, OH, NC, MA, GA, SC, MO15 enrollments

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
O20040420000534 NJ Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 24 practitioners
Practice locations: Carlstadt, NJ; Clifton, NJ; Montclair, NJ; Paterson, NJ; Totowa, NJ; Wayne, NJ
O20230127000229 FL Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 3 practitioners
Practice locations: Boca Raton, FL; Melbourne, FL; Orlando, FL
O20230128000172 PA Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 2 practitioners
Practice locations: Ardmore, PA; Gibsonia, PA; Holland, PA
O20230128000235 TX Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 5 practitioners
Practice locations: Spring, TX; San Marcos, TX; San Antonio, TX; Fort Worth, TX
O20230130000884 NY Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 2 practitioners
Practice locations: Howard Beach, NY; Long Island City, NY; Saint James, NY
O20230130002093 IL Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL; Lake Forest, IL; Oak Brook, IL; South Barrington, IL
O20230131000749 UT Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 1 practitioner
Practice locations: Bountiful, UT
O20230131000987 WA Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 1 practitioner
Practice locations: Bremerton, WA
O20230131002895 CA Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 7 practitioners
Practice locations: Bakersfield, CA; Stockton, CA; Santa Monica, CA; Hanford, CA; Carlsbad, CA; Beverly Hills, CA; Claremont, CA
O20230302001151 OH Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 2 practitioners
Practice locations: Beavercreek, OH; Columbus, OH
O20230406002861 NC Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 2 practitioners
Practice locations: Sanford, NC; Winston Salem, NC
O20240212000920 MA Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 3 practitioners
Practice locations: Orleans, MA; Boston, MA; Amherst, MA
O20240828001560 GA Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 1 practitioner
Practice locations: McDonough, GA
O20241016003843 SC Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC
O20251105001339 MO Part B Supplier - Clinic/Group Practice 3577558378 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Locations

2647 Gateway Rd
Ste 105
Carlsbad, CA 92009
Phone (760) 410-8487

1135 Broad St
Ste 3
Clifton, NJ 07013
Phone (973) 470-3074

925 Clifton Ave
Ste 201
Clifton, NJ 07013
Phone (973) 249-7700

11 Getty Ave
Paterson, NJ 36556
Phone (973) 754-2999

11 Getty Ave
Ste 275
Paterson, NJ 07503
Phone (973) 754-2999

Practitioners & affiliated clinicians

Practitioners 73

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.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1366428153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3607",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477353607",
            "telephone_number": "800-467-2392",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING SUBSPECIALISTS OF NORTH JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "YUPPA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-927-0002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9053107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.