Organization Active NPI

The New Jersey Imaging Network, LLC

Doing business as DRA of Morristown at Cedar Knolls

  • Radiology Clinic/Center
  • Cedar Knolls, NJ
National Provider Identifier
1629327887
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
THE NEW JERSEY IMAGING NETWORK, LLC
Doing business as
DRA of Morristown at Cedar Knolls
Practice address
197 Ridgedale Ave
Cedar Knolls, NJ 07927-2111
Phone
(973) 322-4131
NPI assigned
Sep 4, 2012
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Howard Berger
Title
President
Phone
(585) 218-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

197 Ridgedale Ave
Cedar Knolls, NJ 07927-2111

Mailing address

95 Old Short Hills Rd
West Orange, NJ 07052-1008
Phone (973) 322-4131

Other identifiers 1

IdentifierTypeStateIssuer
0372838MedicaidNJ

Other names 1

  • DRA of Morristown at Cedar Knolls Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, MA, PA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20130724000791 NJ Part B Supplier - Clinic/Group Practice 2860633492 Receives reassigned benefits from 179 practitioners
O20240126002813 NY Part B Supplier - Clinic/Group Practice 2860633492 Receives reassigned benefits from 6 practitioners
Practice locations: Vestal, NY; Rye, NY; New City, NY; Brooklyn, NY; New York, NY
O20260105000067 MA Part B Supplier - Clinic/Group Practice 2860633492 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, MA
O20260112000482 PA Part B Supplier - Clinic/Group Practice 2860633492 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

27695 Network Pl
Chicago, IL 60673

519 Broadway
Bayonne, NJ 07002
Phone (201) 354-1684

36 Newark Ave
Ste 100
Belleville, NJ 07109
Phone (973) 844-4170

25 S Union Ave
Cranford, NJ 07016
Phone (908) 577-5500

645 Route 18
Ste C
East Brunswick, NJ 08816
Phone (800) 930-6759

53 Washington St
Hoboken, NJ 07030
Phone (201) 222-2500

600 Pavonia Ave
Ste 1C
Jersey City, NJ 07306

609 Broad St
Unit C
Newark, NJ 07102

20 High St
Nutley, NJ 07110
Phone (973) 281-1881

1980 Highway 9 N
Ste 230
Old Bridge, NJ 08857

130 Kinderkamack Rd
Ste 300
River Edge, NJ 07661
Phone (201) 489-2727

2770 Morris Ave
Union, NJ 07083
Phone (908) 686-0306

3196 Kennedy Blvd
Ste A
Union City, NJ 07087
Phone (201) 537-3920

307 60th St
West New York, NJ 07093
Phone (201) 854-1200

Practitioners & affiliated clinicians

Practitioners 200

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.

View all 200

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1629327887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 OLD SHORT HILLS RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521008",
            "telephone_number": "973-322-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272111",
            "telephone_number": "973-322-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW JERSEY IMAGING NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-218-8008"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0372838",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRA of Morristown at Cedar Knolls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.