NPIMap

Organization Active NPI

University Radiology at Trinitas, LLC

  • Radiology Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1366526279
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
22518 Issued in NJ
Legal business name
UNIVERSITY RADIOLOGY AT TRINITAS, LLC
Practice address
415 Morris Avenue
Elizabeth, NJ 07208
Phone
(908) 351-7600
Fax
(908) 351-4406
NPI assigned
Oct 25, 2006
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Dr. Robert E. Epstein, MDNPI 1356323083
Title
Chairman
Phone
(732) 390-0040

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X
Radiology Clinic/Center 261QR0200X 22518 NJ Primary

Addresses

Primary practice location

415 Morris Avenue
Elizabeth, NJ 07208

Mailing address

579A Crandbury Road
East Brunswick, NJ 08816
Phone (732) 390-0040

Other identifiers 1

IdentifierTypeStateIssuer
3288901MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CT, NY, SC, PA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20050317000492 NJ Part B Supplier - Clinic/Group Practice 9133174634 Receives reassigned benefits from 212 practitioners
Practice locations: Elizabeth, NJ
O20260129001525 CT Part B Supplier - Clinic/Group Practice 9133174634 Receives reassigned benefits from 1 practitioner
Practice locations: Cos Cob, CT
O20260130001399 NY Part B Supplier - Clinic/Group Practice 9133174634 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY; Bronx, NY
O20260202000449 SC Part B Supplier - Clinic/Group Practice 9133174634 Receives reassigned benefits from 1 practitioner
Practice locations: Hilton Head, SC
O20260207000546 PA Part B Supplier - Clinic/Group Practice 9133174634 Receives reassigned benefits from 5 practitioners
Practice locations: Wayne, PA; Philadelphia, PA; Newtown Square, PA; Newtown, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1017290University Radiology at Trinitas415 Morris Avenue, Elizabeth, NJ 07208Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

Practitioners & affiliated clinicians

Practitioners 212

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 212

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1366526279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANDBURY ROAD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-390-0040",
            "fax_number": "732-955-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MORRIS AVENUE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07208",
            "telephone_number": "908-351-7600",
            "fax_number": "908-351-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY RADIOLOGY AT TRINITAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "732-390-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "22518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3288901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.