Active NPI
Jersey City Imaging Center LLC
- Body Imaging Physician
- Jersey City, NJ
National Provider Identifier
1508602152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- Legal business name
- JERSEY CITY IMAGING CENTER LLC
- Practice address
- 2300 JFK Blvd
Jersey City, NJ 07304-1510 - Phone
- (732) 376-6616
- NPI assigned
- Jul 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bhavika Vedawala
- Title
- Owner
- Phone
- (908) 257-0444
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
2300 JFK Blvd
Jersey City, NJ 07304-1510
Mailing address
2300 JFK Blvd
Jersey City, NJ 07304-1510
Phone (551) 353-9911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Hoboken, NJ
- NPI 1285621748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1508602152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 JFK BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073041510",
"telephone_number": "551-353-9911",
"fax_number": "551-256-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 JFK BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073041510",
"telephone_number": "732-376-6616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY CITY IMAGING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-03",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "VEDAWALA",
"authorized_official_first_name": "BHAVIKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-257-0444"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
- Jersey City Endodontics LLC
- Jersey City Family Medicine PC
- Jersey City Hands-on Physical Therapy and Wellness Center LLC
- Jersey City Healthcare Providors LLC
- Jersey City Home Care
- Jersey City Medical Care PA
- Jersey City Medical Center
- Jersey City Medical Center
- Jersey City Medical Center
- Jersey City Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.