Holmdel Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

HOLMDEL IMAGING LLC

Practice address

100 Commons Way
Holmdel, NJ 07733-2934

Phone

(732) 671-6618

Fax

(732) 671-7353

NPI assigned

May 9, 2006

Last updated

Oct 7, 2025By 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

Amy Stout

Title

President/Ceo

Phone

(615) 261-2306

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Robert E Wold, M.D.

  • Diagnostic Radiology Physician
  • Red Bank, NJ
  • NPI 1306831482
  Medicare reassignment Care Compare group NPD
• Frederick J Zito, MD

  • Diagnostic Radiology Physician
  • Red Bank, NJ
  • NPI 1043205081
  Medicare reassignment Care Compare group NPD
• Raven Devincenzo, M.D.

  • Diagnostic Radiology Physician
  • Staten Island, NY
  • NPI 1104844117

  NJ

  Medicare reassignment Care Compare group NPD
• Benjamin Wang, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1932441029

  NJ

  Medicare reassignment Care Compare group NPD
• Nicholas Perosi, M.D.

  • Diagnostic Radiology Physician
  • Little Silver, NJ
  • NPI 1407091374
  Medicare reassignment NPD
• Douglas C Boxer, MD

  • Diagnostic Radiology Physician
  • Union, NJ
  • NPI 1063456754
  NPD (past)
• Jeffrey D Gould, MD

  • Diagnostic Radiology Physician
  • Red Bank, NJ
  • NPI 1326033143
  NPD (past)
• Salvatore V Raccuia, M.D.

  • Diagnostic Radiology Physician
  • Pennington, NJ
  • NPI 1821085663
  NPD (past)
• Michael Rainisch, M.D.

  • Vascular & Interventional Radiology Physician
  • Hollywood, FL
  • NPI 1760478036
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1629027339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 400",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677270",
            "telephone_number": "615-261-2306",
            "fax_number": "855-588-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMONS WAY",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332934",
            "telephone_number": "732-671-6618",
            "fax_number": "732-671-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMDEL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "615-261-2306"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016021",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holmdel Cardiology & Internal Medicine Assoc PA
• Holmdel Cardiology Associates LLC
• Holmdel Eye Center LLC (Holmdel Eye Center)
• Holmdel Gastroenterology Associates
• Holmdel Health Center
• Holmdel Medical Group, Inc
• Holmdel Multi Specialty Surgical Associates LLC (Hmssa LLC)
• Holmdel Obstetrics & Gynecology Associates, PA
• Holmdel Ophthalmology LLC
• Holmdel Orthodontics LLC

• Diagnostic Radiology Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.