Organization Active NPI

Imaging Associates of Hazleton PC

  • Diagnostic Radiology Physician
  • Hazleton, PA
National Provider Identifier
1487609715
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
IMAGING ASSOCIATES OF HAZLETON PC
Practice address
101 S Church Street
Hazleton, PA 18201-6279
Phone
(570) 501-7226
Fax
(570) 501-7232
NPI assigned
May 24, 2006
Last updated
Mar 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Debbie Armstrong
Title
Executive Assistant
Phone
(973) 418-6214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

101 S Church Street
Hazleton, PA 18201-6279

Mailing address

PO Box 1649
Kingston, PA 18704-0649
Phone (570) 208-5534

Other identifiers 1

IdentifierTypeStateIssuer
0018604280004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, NC, FL, NJ, LA, AZ7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20040826000371 PA Part B Supplier - Clinic/Group Practice 0941275747 Receives reassigned benefits from 17 practitioners
Practice locations: Villanova, PA; Westtown, PA; Hazleton, PA; Allentown, PA; Phoenixville, PA
O20181011000531 NY Part B Supplier - Clinic/Group Practice 0941275747 Receives reassigned benefits from 7 practitioners
Practice locations: Cohoes, NY; Tarrytown, NY; New Windsor, NY; Lagrangeville, NY
O20210409001550 NC Part B Supplier - Clinic/Group Practice 0941275747 Receives reassigned benefits from 1 practitioner
Practice locations: Waxhaw, NC
O20240103001261 FL Part B Supplier - Clinic/Group Practice 0941275747 Receives reassigned benefits from 4 practitioners
Practice locations: Delray Beach, FL; Ponte Vedra Beach, FL; Windermere, FL
O20250204001495 NJ Part B Supplier - Clinic/Group Practice 0941275747 Receives reassigned benefits from 2 practitioners
Practice locations: Ringwood, NJ; Upper Saddle River, NJ; Fair Lawn, NJ
O20250227000511 LA Part B Supplier - Clinic/Group Practice 0941275747 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA
O20250918004327 AZ Part B Supplier - Clinic/Group Practice 0941275747 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

101 S Church St
Hazleton, PA 18201
Phone (570) 501-7226

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1487609715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1649",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040649",
            "telephone_number": "570-208-5534",
            "fax_number": "570-208-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S CHURCH STREET",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016279",
            "telephone_number": "570-501-7226",
            "fax_number": "570-501-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING ASSOCIATES OF HAZLETON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "973-418-6214"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018604280004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.