NPIMap

Organization Active NPI

Cranford Diagnostic Imaging PA

  • Diagnostic Radiology Physician
  • Cranford, NJ
National Provider Identifier
1366436552
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CRANFORD DIAGNOSTIC IMAGING PA
Practice address
25 S Union Ave
Cranford Diagnostic Imaging
Cranford, NJ 07016
Phone
(908) 709-1323
Fax
(908) 709-1329
NPI assigned
Sep 2, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
David L Bloom, MD
Title
President
Phone
(617) 236-0220

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

National Provider Directory

National Provider Directory

Locations

27168 Network Pl
Chicago, IL 60673

10 Parsonage Rd
Ste 105
Edison, NJ 08837
Phone (732) 473-6515

3196 Kennedy Blvd
Ste A
Union City, NJ 07087
Phone (201) 537-3920

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

25 S Union Ave
Cranford Diagnostic Imaging
Cranford, NJ 07016

Mailing address

1455 Broad St
Cranford Diagnostic Imaging PA 4TH Floor
Bloomfield, NJ 07003
Phone (973) 873-9889

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
8384509MedicaidNJ

Other names 1

NPPES NPI Registry
  • Cranford Diagnostic Imaging Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366436552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST",
            "address_2": "CRANFORD DIAGNOSTIC IMAGING PA 4TH FLOOR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-873-9889",
            "fax_number": "973-707-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S UNION AVE",
            "address_2": "CRANFORD DIAGNOSTIC IMAGING",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "07016",
            "telephone_number": "908-709-1323",
            "fax_number": "908-709-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANFORD DIAGNOSTIC IMAGING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-236-0220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8384509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cranford Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.