Organization Active NPI

Alpha Diagnostic of New Jersey LLC

  • Diagnostic Radiology Physician
  • Paramus, NJ
National Provider Identifier
1508298241
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ALPHA DIAGNOSTIC OF NEW JERSEY LLC
Practice address
1 W Ridgewood Ave
Suite G01-G02
Paramus, NJ 07652-2359
Phone
(201) 962-0819
NPI assigned
Aug 5, 2013
Last updated
Nov 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Mr. Moataz B Abdalla
Title
Managing Member
Phone
(201) 962-0819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

1 W Ridgewood Ave
Suite G01-G02
Paramus, NJ 07652-2359

Mailing address

1 W Ridgewood Ave
Suite G01-G02
Paramus, NJ 07652-2359
Phone (201) 962-0819

National Provider Directory

National Provider Directory

Locations

1 W Ridgewood Ave
#G62
Paramus, NJ 07652
Phone (201) 962-0819

1 W Ridgewood Ave
Ste G1G2
Paramus, NJ 07652
Phone (201) 445-5055

Practitioners & affiliated clinicians

Practitioners 1

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": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1508298241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "SUITE G01-G02",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-962-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "SUITE G01-G02",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-962-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DIAGNOSTIC OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "MOATAZ",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-962-0819",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.