Active NPI
Womens Diagnostic Imaging, LLC
- Diagnostic Radiology Physician
- Ridgewood, NJ
National Provider Identifier
1679118517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- WOMENS DIAGNOSTIC IMAGING, LLC
- Practice address
- 79 Chestnut St
Ridgewood, NJ 07450-2563 - Phone
- (201) 444-4484
- Fax
- (201) 444-4148
- NPI assigned
- Nov 14, 2019
- Last updated
- Nov 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa Weinstock, MD
- Title
- Managing Member
- Phone
- (201) 444-4484
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
79 Chestnut St
Ridgewood, NJ 07450-2563
Mailing address
79 Chestnut St
Ridgewood, NJ 07450-2563
Phone (201) 444-4484
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Diagnostic Radiology Physician
- Ridgewood, NJ
- NPI 1871506485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573689600000",
"number": "1679118517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 CHESTNUT ST",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502563",
"telephone_number": "201-444-4484",
"fax_number": "201-444-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 CHESTNUT ST",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502563",
"telephone_number": "201-444-4484",
"fax_number": "201-444-4148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS DIAGNOSTIC IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-14",
"last_updated": "2019-11-14",
"status": "A",
"authorized_official_last_name": "WEINSTOCK",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "201-444-4484",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.