Damien Diagnostic

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

25MA05460300 Issued in NJ

Legal business name

DAMIEN DIAGNOSTIC

Practice address

315 Elmora Ave
Suite 204
Elizabeth, NJ 07208-1383

Phone

(908) 282-6895

Fax

(908) 282-9090

NPI assigned

Apr 13, 2012

Last updated

Apr 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Natalio Damien

Title

Owner

Phone

(908) 282-6895

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Raed Abdula Hattab, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Crestview, FL
  • NPI 1497701718
  NPD (past)

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1437416559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ELMORA AVE",
            "address_2": "SUITE 204",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ELMORA AVE",
            "address_2": "SUITE 204",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081383",
            "telephone_number": "908-282-6895",
            "fax_number": "908-282-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIEN DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "DAMIEN",
        "authorized_official_first_name": "NATALIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-282-6895"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "25MA05460300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas D'Urso, PA-C
• Vanessa Bomjardim Da Silveira, LMFT
• Daak of NJ, Inc. (Cohen's Fashion Optical)
• Manjesh Dalal, MD
• Antonia Dalerta, LCSW
• Claire Rose Daniel, RN, HEALTH ADVISOR
• Dara J Sperber, DPM (Elmora Podiatry Center)
• Dornell Darby
• Dash and Company LLC (Formula Rx)
• Maria R. Davanzo, ATR-BC, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.