Organization Active NPI

River Medical Imaging, LLC

Doing business as River Medical Imaging

  • Diagnostic Radiology Physician
  • Toms River, NJ
National Provider Identifier
1598742272
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23127 Issued in NJ
Legal business name
RIVER MEDICAL IMAGING, LLC
Doing business as
River Medical Imaging
Practice address
1430 Hooper Ave
Suite 102
Toms River, NJ 08753-2895
Phone
(732) 505-1888
Fax
(732) 721-7890
NPI assigned
Dec 23, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Ivette Cuevas, RN
Title
Executive Administrator
Phone
(732) 721-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 23127 NJ Primary

Addresses

Primary practice location

1430 Hooper Ave
Suite 102
Toms River, NJ 08753-2895

Mailing address

540 Bordentown Ave
Box 2a
South Amboy, NJ 08879-1544
Phone (732) 721-5501

Other identifiers 2

IdentifierTypeStateIssuer
0031259MedicaidNJ
23127OtherNJDEPT OF HEALTH/HUMAN SERV

Other names 1

  • River Medical Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

540 Bordentown Ave
Ste 2A
South Amboy, NJ 08879

1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598742272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BORDENTOWN AVE",
            "address_2": "BOX 2A",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791544",
            "telephone_number": "732-721-5501",
            "fax_number": "732-721-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HOOPER AVE",
            "address_2": "SUITE 102",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532895",
            "telephone_number": "732-505-1888",
            "fax_number": "732-721-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-721-5501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "23127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031259",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH/HUMAN SERV",
            "identifier": "23127",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.