Active NPI
Next Generation Diagnostic Imaging PC
- Diagnostic Radiology Physician
- Summit, NJ
National Provider Identifier
1396163374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA08524500
- Legal business name
- NEXT GENERATION DIAGNOSTIC IMAGING PC
- Practice address
- 360 Springfield Ave
Suite 302B
Summit, NJ 07901-4608 - Phone
- (973) 969-6900
- Fax
- (609) 949-5555
- NPI assigned
- Apr 7, 2014
- 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
- Richard Denise, M.D.
- Title
- President
- Phone
- (973) 969-6900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA08524500 | NJ | Primary |
Addresses
Primary practice location
360 Springfield Ave
Suite 302B
Summit, NJ 07901-4608
Mailing address
360 Springfield Ave
Suite 302B
Summit, NJ 07901-4608
Phone (973) 969-6900
National Provider Directory
National Provider DirectoryLocations
360 Springfield Ave
Ste 302B
Summit, NJ 07901
Phone (973) 969-6800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396828800000",
"number": "1396163374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SPRINGFIELD AVE",
"address_2": "SUITE 302B",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079014608",
"telephone_number": "973-969-6900",
"fax_number": "609-949-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SPRINGFIELD AVE",
"address_2": "SUITE 302B",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079014608",
"telephone_number": "973-969-6900",
"fax_number": "609-949-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXT GENERATION DIAGNOSTIC IMAGING PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-07",
"last_updated": "2014-04-07",
"status": "A",
"authorized_official_last_name": "DENISE",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-969-6900",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA08524500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.