Active NPI
Dynamic Medical Imaging, LLC
- Radiology Clinic/Center
- Union, NJ
National Provider Identifier
1417097858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- DYNAMIC MEDICAL IMAGING, LLC
- Practice address
- 950 W Chestnut St
Union, NJ 07083-6966 - Phone
- (908) 687-2552
- Fax
- (908) 687-6556
- NPI assigned
- Feb 7, 2007
- 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
- Mr. Steven Paul Brownstein, M.D.
- Title
- President
- Phone
- (908) 687-2552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
950 W Chestnut St
Union, NJ 07083-6966
Mailing address
8 Linda LN
Springfield, NJ 07081-3024
Phone (908) 687-2552
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2K2844 | Other | NJ | HEALTH NET |
| 0027472 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417097858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 LINDA LN",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070813024",
"telephone_number": "908-687-2552",
"fax_number": "908-687-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 W CHESTNUT ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070836966",
"telephone_number": "908-687-2552",
"fax_number": "908-687-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC MEDICAL IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BROWNSTEIN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-687-2552",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2K2844",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0027472",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.