Magnus Imaging, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MAGNUS IMAGING, LLC

Practice address

946 Bloomfield Ave
Lower Level
Glen Ridge, NJ 07028-1304

Phone

(973) 743-0061

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Domenic Lucio Mariano, D.O.

Title

Director

Phone

(973) 743-0061

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asad M Cheema, MD

  • Clinical Cardiac Electrophysiology Physician
  • Glen Ridge, NJ
  • NPI 1639171457
  NPD (past)
• Mazin Khalid, MD

  • Interventional Cardiology Physician
  • Glen Ridge, NJ
  • NPI 1083020812
  NPD (past)
• Nicole Sunga, FNP, RN

  • Family Nurse Practitioner
  • Nutley, NJ
  • NPI 1578215141
  NPD (past)
• Michael Jeffrey Wilderman, MD

  • Vascular Surgery Physician
  • Hackensack, NJ
  • NPI 1497802938
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447334990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 BLOOMFIELD AVE",
            "address_2": "LOWER LEVEL",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281304",
            "telephone_number": "973-743-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 BLOOMFIELD AVE",
            "address_2": "LOWER LEVEL",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281304",
            "telephone_number": "973-743-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUS IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "DOMENIC",
        "authorized_official_middle_name": "LUCIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-743-0061",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8641609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sangjin Lim, D.O.
• Lloyd I. S. Zbar, MD, PA
• London Private LLC (Sun Pharmacy)
• Janet P Mack, RN, MSN, APN-C
• Jill Melinda Magioncalda, MSN, APRN, FNP- BC
• Hassan Malik
• Rachel Manez
• Maranatha Pharmacy Services (Transformational Pharmacy Services)
• Domenic L Mariano, DO
• Kellie Ann McGuire, FNP

• Specialist in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Specialist in New Jersey

• 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.

Verify at the official NPI Registry.