Organization Active NPI

Time Line Diagnostic LLC

  • Cardiovascular Specialist/Technologist
  • Edison, NJ
National Provider Identifier
1457964702
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
Legal business name
TIME LINE DIAGNOSTIC LLC
Practice address
25 Cinder Road Apt 3J
Edison, NJ 08820
Phone
(732) 318-2341
NPI assigned
Aug 26, 2020
Last updated
Aug 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TIME LINE DIAGNOSTIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Jessica H Patel, RCS
Title
Registered Cardiac Sonographe
Phone
(732) 318-2341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246X00000X Primary

Addresses

Primary practice location

25 Cinder Road Apt 3J
Edison, NJ 08820

Mailing address

25 Cinder Road Apt 3J
Edison, NJ 08820
Phone (732) 318-2341

National Provider Directory

National Provider Directory
Part of
Time Line Diagnostic LLC

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1457964702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CINDER ROAD APT 3J",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-318-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CINDER ROAD APT 3J",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-318-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME LINE DIAGNOSTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIME LINE DIAGNOSTIC LLC",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "REGISTERED CARDIAC SONOGRAPHE",
        "authorized_official_telephone_number": "732-318-2341",
        "authorized_official_credential": "RCS"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.