Northeastern Pennsylvania Imaging Center

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

NORTHEASTERN PENNSYLVANIA IMAGING CENTER

Practice address

2601 Stafford Ave
Scranton, PA 18505-0305

Phone

(570) 346-6633

Fax

(570) 346-4049

NPI assigned

Jul 27, 2006

Last updated

Feb 29, 2012By 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

Juliann R. Hall, MBA

Title

Practice Administrator

Phone

(570) 346-6633

Specialties & licenses 6

Addresses

Other identifiers 10

Locations

Practitioners 5

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.

• Sumblina A Chaudhary, MD

  • Diagnostic Radiology Physician
  • Sayre, PA
  • NPI 1144213976

  Body Imaging

  NPD (past)
• Elias Najem

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1942296843

  Neuroradiology

  NPD (past)
• Scott Sauerwine, MD

  • Diagnostic Radiology Physician
  • Kingston, PA
  • NPI 1861465981
  NPD (past)
• Jonathon C. Sullum, M.D.

  • Diagnostic Radiology Physician
  • Scranton, PA
  • NPI 1225041536
  NPD (past)
• John James Culliney, M.D.

  • Diagnostic Radiology Physician
  • Lihue, HI
  • NPI 1053416586
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1598789000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 STAFFORD AVE",
            "address_2": "PO BOX 3305",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185050305",
            "telephone_number": "570-346-6633",
            "fax_number": "570-346-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 STAFFORD AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185050305",
            "telephone_number": "570-346-6633",
            "fax_number": "570-346-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN PENNSYLVANIA IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JULIANN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "570-346-6633",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "20010377",
            "identifier": "20010377",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS HEALTHNET",
            "identifier": "2Y6956",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN NUMBER",
            "identifier": "0032528",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "1686",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "053243",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011162430005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB3186",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "475385",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000072505",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NE PA",
            "identifier": "999004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Ear, Nose & Throat Center, PC
• Northeast Pennsylvania Center for Independent Living (ACESS Financial Management Services)
• Northeast Pennsylvania Nephrology Associates PC
• Northeastern Eye Institute
• Northeastern Eye Institute
• Northeastern Rehabilitation Associates, PC
• Erin Notz, CRNP
• Jordyn D Noullet, CRNP
• Andrea M Novak, MA, CCC-SLP
• Christine Novak

• Diagnostic Radiology Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.