Active NPI
Goodland TLC Home Health Agency
- Vascular Sonography Radiologic Technologist
- Hazlet, NJ
National Provider Identifier
1376417659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- Legal business name
- GOODLAND TLC HOME HEALTH AGENCY
- Practice address
- 4 Skyline Dr
Hazlet, NJ 07730-1679 - Phone
- (732) 910-2894
- NPI assigned
- Oct 1, 2025
- Organization subpart
- Yes
- Parent organization
- GOODLAND TLC HOME HEALTH AGENCY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Omobukola Itua, RVT
- Title
- Manager
- Phone
- (732) 910-2894
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist | 2471V0105X | Primary |
Addresses
Primary practice location
4 Skyline Dr
Hazlet, NJ 07730-1679
Mailing address
4 Skyline Dr
Hazlet, NJ 07730-1679
Phone (732) 910-2894
Other names 1
- Goodland Medical Diagnostic Services
National Provider Directory
National Provider Directory- Part of
- Goodland TLC Home Health Agency
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Sonography Radiologic Technologist
- Hazlet, NJ
- NPI 1003780388
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775088000000",
"number": "1376417659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SKYLINE DR",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301679",
"telephone_number": "732-910-2894",
"fax_number": "855-724-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SKYLINE DR",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301679",
"telephone_number": "732-910-2894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODLAND TLC HOME HEALTH AGENCY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GOODLAND TLC HOME HEALTH AGENCY",
"enumeration_date": "2025-10-01",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A",
"authorized_official_last_name": "ITUA",
"authorized_official_first_name": "OMOBUKOLA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "732-910-2894",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RVT"
},
"taxonomies": [
{
"code": "2471V0105X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Goodland Medical Diagnostic Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.