Organization Active NPI

Summit Radiological Associates, P.a.

  • Radiology Clinic/Center
  • New Providence, NJ
National Provider Identifier
1487794350
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SUMMIT RADIOLOGICAL ASSOCIATES, P.A.
Practice address
1811 Springfield Ave
New Providence, NJ 07974-1041
Phone
(908) 522-9111
Fax
(908) 522-0066
NPI assigned
Feb 8, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Amir Salomon, M.D.
Title
President
Phone
(908) 277-3335

Practitioners 9

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

National Provider Directory

Locations

118 Elm St
Westfield, NJ 07090
Phone (908) 277-3335

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 25MA NH
Radiology Clinic/Center 261QR0200X NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

1811 Springfield Ave
New Providence, NJ 07974-1041

Mailing address

PO Box 460
Summit, NJ 07902-0460
Phone (908) 522-9111

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2628104MedicaidNJ
3348504MedicaidNJ

Other names 1

NPPES NPI Registry
  • WESTFIELD IMAGING CENTER Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2014.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1487794350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079020460",
            "telephone_number": "908-522-9111",
            "fax_number": "908-522-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SPRINGFIELD AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741041",
            "telephone_number": "908-522-9111",
            "fax_number": "908-522-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RADIOLOGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "SALOMON",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-277-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NH",
            "license": "25MA",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2628104",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3348504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTFIELD IMAGING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.