Organization Active NPI

Sono Image LLC

  • Mobile Radiology Clinic/Center
  • Paterson, NJ
National Provider Identifier
1578829685
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
25MA05792400 Issued in NJ
Legal business name
SONO IMAGE LLC
Practice address
583 Broadway
Paterson, NJ 07514-2517
Phone
(973) 357-9900
Fax
(973) 357-9979
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Orestes Sanchez, MD
Title
Medical Director
Phone
(201) 390-1909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 25MA05792400 NJ Primary

Addresses

Primary practice location

583 Broadway
Paterson, NJ 07514-2517

Mailing address

PO Box 8166
North Bergen, NJ 07047-8166
Phone (973) 357-9900

Other identifiers 1

IdentifierTypeStateIssuer
5219809MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1578829685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8166",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070478166",
            "telephone_number": "973-357-9900",
            "fax_number": "973-357-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075142517",
            "telephone_number": "973-357-9900",
            "fax_number": "973-357-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONO IMAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ORESTES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-390-1909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NJ",
            "license": "25MA05792400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5219809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 3, 2012; 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.