Organization Active NPI

South Plainfield Radiology Corp

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • South Plainfield, NJ
National Provider Identifier
1437702131
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
SOUTH PLAINFIELD RADIOLOGY CORP
Practice address
116 Corporate Blvd Ste D
South Plainfield, NJ 07080-2437
Phone
(732) 333-3310
NPI assigned
Jul 22, 2019
Last updated
Jul 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Dmitriy Stolyar
Title
President
Phone
(732) 333-3310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary

Addresses

Primary practice location

116 Corporate Blvd Ste D
South Plainfield, NJ 07080-2437

Mailing address

116 Corporate Blvd Ste D
South Plainfield, NJ 07080-2437
Phone (732) 333-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214001971 NJ Part B Supplier - Clinic/Group Practice 6002228178 Receives reassigned benefits from 1 practitioner
Practice locations: South Plainfield, NJ

National Provider Directory

National Provider Directory

Locations

116 Corporate Blvd
Ste D
South Plainfield, NJ 07080
Phone (732) 333-3310

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1437702131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CORPORATE BLVD STE D",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802437",
            "telephone_number": "732-333-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CORPORATE BLVD STE D",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802437",
            "telephone_number": "732-333-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PLAINFIELD RADIOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "STOLYAR",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-333-3310"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.