Organization Active NPI

JDC Ultrasound Diagnostics,LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Clifton, NJ
National Provider Identifier
1629351747
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Legal business name
JDC ULTRASOUND DIAGNOSTICS,LLC
Practice address
199 Demott Ave
Clifton, NJ 07011-3311
Phone
(973) 997-1549
NPI assigned
Sep 26, 2011
Last updated
Sep 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Mr. Juan Delacruz
Title
President
Phone
(973) 997-1549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X NU Primary

Addresses

Primary practice location

199 Demott Ave
Clifton, NJ 07011-3311

Mailing address

199 Demott Ave
Clifton, NJ 07011-3311
Phone (973) 997-1549

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1629351747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 DEMOTT AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113311",
            "telephone_number": "973-997-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 DEMOTT AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113311",
            "telephone_number": "973-997-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDC ULTRASOUND DIAGNOSTICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-997-1549",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.