NPIMap

Organization Active NPI

Imaging Center of Montville LLC

  • Diagnostic Radiology Physician
  • Montville, NJ
National Provider Identifier
1396719993
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23449 Issued in NJ
Legal business name
IMAGING CENTER OF MONTVILLE LLC
Practice address
350 Main Rd
Montville, NJ 07045-9222
Phone
(973) 401-6800
Fax
(973) 316-2442
NPI assigned
Feb 13, 2006
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Robert Maloney
Title
Vice President
Phone
(973) 401-6823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 23449 NJ Primary

Addresses

Primary practice location

350 Main Rd
Montville, NJ 07045-9222

Mailing address

200 American Rd
Morris Plains, NJ 07950-2449
Phone (973) 538-9218

Other identifiers 1

IdentifierTypeStateIssuer
0088773MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1396719993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AMERICAN RD",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502449",
            "telephone_number": "973-538-9218",
            "fax_number": "973-540-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MAIN RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459222",
            "telephone_number": "973-401-6800",
            "fax_number": "973-316-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING CENTER OF MONTVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "973-401-6823"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "23449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088773",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.