Janwelle Medical Diagnostic Services

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

JANWELLE MEDICAL DIAGNOSTIC SERVICES

Practice address

121 N 20TH St
Kenilworth, NJ 07033-1201

Phone

(908) 456-4784

Fax

(201) 257-8818

NPI assigned

Aug 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Joselito C Malonzo

Title

President

Phone

(908) 456-4784

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313280000000",
    "number": "1386923498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331201",
            "telephone_number": "908-456-4784",
            "fax_number": "201-426-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331201",
            "telephone_number": "908-456-4784",
            "fax_number": "201-257-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANWELLE MEDICAL DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-06",
        "last_updated": "2011-08-14",
        "status": "A",
        "authorized_official_last_name": "MALONZO",
        "authorized_official_first_name": "JOSELITO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-456-4784",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Aaron Green, MD
• Joanna Guevara
• Thomas Patrick Haverty, M.D.
• Sin Ki Ho, RDN, CDN
• Innovative Foot and Ankle, P.a.
• Bhavani Jeereddy, MD
• Erica Kane
• Sean L. Kaufman, D.P.M
• Ahmad Kazemi, MD
• Courtney Keating, LAT, ATC

• Mobile Radiology Clinic/Center in Kenilworth, NJ
• Providers in Kenilworth, NJ by specialty
• Mobile Radiology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2011; 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.