Active NPI
Diagnostic Imaging of Bergen, LLC
- Nuclear Cardiology Physician
- Paramus, NJ
National Provider Identifier
1386821395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Cardiology Physician
- Legal business name
- DIAGNOSTIC IMAGING OF BERGEN, LLC
- Practice address
- 1 W Ridgewood Ave
Paramus, NJ 07652-2359 - Phone
- (845) 781-6538
- NPI assigned
- Jan 22, 2008
- 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
- Ms. Tara Butts
- Title
- Administrator
- Phone
- (845) 781-6538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Cardiology Physician | 207UN0901X | Primary |
Addresses
Primary practice location
1 W Ridgewood Ave
Paramus, NJ 07652-2359
Mailing address
PO Box 438
Saddle River, NJ 07458-0438
Phone (845) 781-6538
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1386821395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 438",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074580438",
"telephone_number": "845-781-6538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W RIDGEWOOD AVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076522359",
"telephone_number": "845-781-6538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC IMAGING OF BERGEN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "BUTTS",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "845-781-6538",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207UN0901X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.