Organization Active NPI

Virtual Colonoscopy Company LLC

  • Diagnostic Radiology Physician
  • Freehold, NJ
National Provider Identifier
1467518456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1180246 Issued in NJ
Legal business name
VIRTUAL COLONOSCOPY COMPANY LLC
Practice address
303 W Main St
Freehold, NJ 07728-4832
Phone
(732) 297-6996
NPI assigned
Dec 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian Weiner, MD
Title
Medical Director
Phone
(732) 297-6996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 1180246 NJ Primary

Addresses

Primary practice location

303 W Main St
Freehold, NJ 07728-4832

Mailing address

303 W Main St
Freehold, NJ 07728-4832
Phone (732) 297-6996

National Provider Directory

National Provider Directory
Tax ID family
Virtual Colonoscopy Company 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.

Locations

303 W Main St
Freehold, NJ 07728
Phone (732) 409-0059

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467518456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284832",
            "telephone_number": "732-297-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284832",
            "telephone_number": "732-297-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL COLONOSCOPY COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-297-6996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "1180246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • 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.