Diagnostic Imaging of Elizabeth LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA05939000 Issued in NJ

Legal business name

DIAGNOSTIC IMAGING OF ELIZABETH LLC

Practice address

415 Morris Ave
Elizabeth, NJ 07208-3612

Phone

(732) 574-0742

Fax

(732) 574-0143

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Leo J Fontana, MD

Title

Director

Phone

(732) 574-0742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinitas Diagnostic Imaging Doing business as

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1720038730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083612",
            "telephone_number": "732-574-0742",
            "fax_number": "732-574-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083612",
            "telephone_number": "732-574-0742",
            "fax_number": "732-574-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING OF ELIZABETH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "FONTANA",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-574-0742",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05939000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8282805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinitas Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chandrashekhar Deshpande
• Bridget Desmarais, PA-C
• Aarfa Devani
• Kathleen Michelle Dewyke, M.D.
• Sukhnoor S Dhillon
• Ariana Diaz
• Miguel Angel Diaz I, MD
• Ivanna Diego
• Allyah Marainy Difo
• Dignified Home Care LLC

• Diagnostic Radiology Physician in Elizabeth, NJ
• Providers in Elizabeth, 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 Dec 27, 2007; 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.