Imaging Associates PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

IMAGING ASSOCIATES PA

Practice address

433 Hackensack Ave
Lower Level Hackensack Diagnostic Imaging Center
Hackensack, NJ 07601-6319

Phone

(201) 488-1144

Fax

(201) 488-0853

NPI assigned

Aug 30, 2005

Organization subpart

No

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

Authorized official

Name

David L Bloom, MD

Title

President

Phone

(617) 236-0220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hackensack Diagnostic Imaging Center Doing business as

Locations

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497748990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST",
            "address_2": "4TH FLOOR IMAGING ASSOCIATES PA",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033003",
            "telephone_number": "973-873-9889",
            "fax_number": "973-707-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 HACKENSACK AVE",
            "address_2": "LOWER LEVEL HACKENSACK DIAGNOSTIC IMAGING CENTER",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016319",
            "telephone_number": "201-488-1144",
            "fax_number": "201-488-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-236-0220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8021902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackensack Diagnostic Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.