Irvington Mobile Imaging

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

IRVINGTON MOBILE IMAGING

Doing business as

Irvington Mobile Imaging

Practice address

145 Old Stirling Rd
Warren, NJ 07059-5829

Phone

(197) 337-3300

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rudolph C Willis, MDNPI 1104887819

Title

Proprietor

Phone

(190) 886-8120

Specialties & licenses 1

Addresses

Other names 1

• Irvington Mobile Imaging Doing business as

Electronic endpoints 1

Practitioners 1

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.

• Rudolph Willis, MD

  • Family Medicine Physician
  • Irvington, NJ
  • NPI 1104887819
  NPD Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1598490294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 OLD STIRLING RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595829",
            "telephone_number": "201-415-1978",
            "fax_number": "201-415-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 OLD STIRLING RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595829",
            "telephone_number": "197-337-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINGTON MOBILE IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "190-886-8120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "RXNT",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "145 Old Stirling Rd",
            "city": "Warren",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070595829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Irvington Mobile Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Phillip Huber, D.C.
• Human Potential Institute, Inc.
• Erica Jane Hvizdos
• International Healthcare of NJ
• Ashley Marie Irving, PA-C
• Anne Isaacs, DDS
• Krista Lynn Iuliucci
• Christopher D Jacquet, PT
• Jacqueline Jae
• Jag-One Physical Therapy, LLC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Warren, NJ
• Providers in Warren, NJ by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.