NPIMap

Organization Active NPI

West Orange Radiology, LLC

Doing business as ImageCare at West Orange

  • Radiology Clinic/Center
  • West Orange, NJ
National Provider Identifier
1558711481
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
22601 Issued in NJ
Legal business name
WEST ORANGE RADIOLOGY, LLC
Doing business as
ImageCare at West Orange
Practice address
61 Main St
West Orange, NJ 07052-5352
Phone
(973) 506-0679
NPI assigned
Jun 22, 2016
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Andreia Lima
Title
Ceo
Phone
(908) 361-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 22601 NJ Primary

Addresses

Primary practice location

61 Main St
West Orange, NJ 07052-5352

Mailing address

57 Route 46 Ste 209
Hackettstown, NJ 07840-2695
Phone (908) 979-1621

Other names 1

  • ImageCare at West Orange Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170628000271 NJ Part B Supplier - Clinic/Group Practice 1557630936 Receives reassigned benefits from 50 practitioners
Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Locations

61 Main St
Ste A
West Orange, NJ 07052
Phone (973) 736-1680

Practitioners & affiliated clinicians

Practitioners 50

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 50

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1558711481",
    "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": "908-979-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525352",
            "telephone_number": "973-506-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ORANGE RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "LIMA",
        "authorized_official_first_name": "ANDREIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-361-7350"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "22601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ImageCare at West Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2024; 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.