Active NPI
Screen for Life Diagnostic Inc
- Clinic/Center
- Old Bridge, NJ
National Provider Identifier
1699883231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SCREEN FOR LIFE DIAGNOSTIC INC
- Practice address
- 3310 Route 9TH
Deep Run Plaza
Old Bridge, NJ 08857-2685 - Phone
- (847) 375-9711
- NPI assigned
- Aug 25, 2006
- 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
- Anna Roytman
- Title
- Office Manager
- Phone
- (847) 375-9711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
3310 Route 9TH
Deep Run Plaza
Old Bridge, NJ 08857-2685
Mailing address
3310 Route 9TH South
Deep Run Plaza
Old Bridge, NJ 08857-2685
National Provider Directory
National Provider DirectoryLocations
3310 Route 9
Old Bridge, NJ 08857
Phone (732) 580-0660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699883231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 ROUTE 9TH SOUTH",
"address_2": "DEEP RUN PLAZA",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 ROUTE 9TH",
"address_2": "DEEP RUN PLAZA",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572685",
"telephone_number": "847-375-9711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCREEN FOR LIFE DIAGNOSTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROYTMAN",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "847-375-9711"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.