Shore Imaging Associates Marlton LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

22803 Issued in NJ

Legal business name

SHORE IMAGING ASSOCIATES MARLTON LLC

Practice address

100 Brick Rd
Suite #101
Marlton, NJ 08053-2146

Phone

(856) 983-5599

Fax

(856) 985-9061

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lynne A. Fox, NONE

Title

Ceo

Phone

(856) 983-5599

Specialties & licenses 1

Addresses

Other names 1

• STAT Imaging at Marlton Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent A Jarrett, DO

  • Specialist
  • Vineland, NJ
  • NPI 1447200407
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578628772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 44TH ST",
            "city": "SEA ISLE CITY",
            "state": "NJ",
            "postal_code": "082431846",
            "telephone_number": "609-263-4566",
            "fax_number": "856-985-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRICK RD",
            "address_2": "SUITE #101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532146",
            "telephone_number": "856-983-5599",
            "fax_number": "856-985-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE IMAGING ASSOCIATES MARLTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-983-5599",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NJ",
            "license": "22803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAT Imaging at Marlton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Surendra C Sheth, M D
• Denise M Shira, CCC-SLP
• Sandra A Shivers, LMT
• Shor Medical Associates, LLC
• Daniel Shor, DO
• Charles Short
• Kavita Sherpa Shrestha, NURSE PRACTITIONER
• Heather Mae Shultz, D. AC.
• Anna Shvartsman
• Mahbubur Siddique, MD

• Magnetic Resonance Imaging (MRI) Clinic/Center in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.