NPIMap

Organization Active NPI

Personal Touch Radiology, LLC

Doing business as Pink Breast Center

  • Diagnostic Radiology Physician
  • Paterson, NJ
National Provider Identifier
1558523316
Registry record updated Aug 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PERSONAL TOUCH RADIOLOGY, LLC
Doing business as
Pink Breast Center
Practice address
680 Broadway
Paterson, NJ 07514-1422
Phone
(973) 341-1127
Fax
(973) 341-1128
NPI assigned
Jul 1, 2008
Last updated
Aug 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2020

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

Authorized official

Name
Lisa M Sheppard, MD
Title
Owner/President
Phone
(856) 778-7301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

680 Broadway
Paterson, NJ 07514-1422

Mailing address

57 Route 46 Ste 209
Hackettstown, NJ 07840-2695
Phone (973) 341-1127

Other identifiers 1

IdentifierTypeStateIssuer
0229571MedicaidNJ

Other names 1

  • Pink Breast Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081021000502 NJ Part B Supplier - Clinic/Group Practice 0749348696 Receives reassigned benefits from 29 practitioners
Practice locations: Paterson, NJ

National Provider Directory

National Provider Directory

Locations

3 Walter E Foran Blvd
Ste 312
Flemington, NJ 08822
Phone (908) 284-2300

310 Walter E Foran Blvd
Flemington, NJ 08822
Phone (973) 341-1127

680 Broadway
Ste 111
Paterson, NJ 07514
Phone (908) 284-2300

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598659200000",
    "number": "1558523316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 ROUTE 46 STE 209",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402695",
            "telephone_number": "973-341-1127",
            "fax_number": "973-341-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141422",
            "telephone_number": "973-341-1127",
            "fax_number": "973-341-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL TOUCH RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "856-778-7301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229571",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pink Breast Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pink Breast Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.

Verify at the official NPI Registry.