Home Health Radiology Services LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

626344 Issued in NJ

Legal business name

HOME HEALTH RADIOLOGY SERVICES LLC

Practice address

1211 Green Street
Iselin, NJ 08830

Phone

(732) 379-4755

Fax

(866) 498-0867

NPI assigned

Jul 24, 2006

Last updated

Jun 29, 2021By 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

Mr. Hitendra Patel

Title

Owner

Phone

(732) 379-4755

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447272364. Details of each certification follow.

• CCN 31X0009840 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 31X0009840

Legal name

HOME HEALTH RADIOLOGY SERVICES

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

May 3, 2006

Last certification

May 24, 2023

Ownership / control type

Partnership

Most recent change of ownership

Dec 17, 2014

Facility address

1211 Green Street
Iselin, NJ 08830

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Home Health Radiology Services LLC

  • Physiological Laboratory
  • Iselin, NJ
  • NPI 1093390080

  7416055538

  Same PAC ID

Tax ID family

Home Health Radiology Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Home Health Radiology Services LLC

  • Physiological Laboratory
  • Iselin, NJ
  • NPI 1093390080
  NPD tax ID

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1447272364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 GREEN STREET",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-379-4755",
            "fax_number": "866-498-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 GREEN STREET",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-379-4755",
            "fax_number": "866-498-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH RADIOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HITENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-379-4755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NJ",
            "license": "626344",
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NY",
            "license": "092842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739634",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.