Organization Active NPI

Consolidated Diagnostic and Imaging PC

  • Cardiovascular Disease Physician
  • West Orange, NJ
National Provider Identifier
1487814885
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
43002 Issued in NJ
Legal business name
CONSOLIDATED DIAGNOSTIC AND IMAGING PC
Practice address
81 Northfield Ave Ste 102
West Orange, NJ 07052-5338
Phone
(973) 736-2600
Fax
(973) 736-8355
NPI assigned
Jun 10, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Iftekhar Kadri, M.D.NPI 1093711947
Title
Owner
Phone
(973) 912-9195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43002 NJ
Cardiovascular Disease Physician 207RC0000X 43002 NJ Primary

Addresses

Primary practice location

81 Northfield Ave Ste 102
West Orange, NJ 07052-5338

Mailing address

15 Chapel Hill Rd
Short Hills, NJ 07078-1211
Phone (973) 912-9195

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1487814885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHAPEL HILL RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781211",
            "telephone_number": "973-912-9195",
            "fax_number": "973-912-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 NORTHFIELD AVE STE 102",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525338",
            "telephone_number": "973-736-2600",
            "fax_number": "973-736-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED DIAGNOSTIC AND IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "KADRI",
        "authorized_official_first_name": "IFTEKHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-912-9195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "43002",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "43002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.