Active NPI
MDR Diagnostics LLC
- Cardiovascular Specialist/Technologist
- New Brunswick, NJ
National Provider Identifier
1740237858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Specialist/Technologist
- License
- MA03323600
- Legal business name
- MDR DIAGNOSTICS LLC
- Practice address
- 317 George St
Suite 415
New Brunswick, NJ 08901-2008 - Phone
- (609) 396-0021
- Fax
- (800) 717-0334
- NPI assigned
- May 27, 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
- David Katz
- Title
- Manager
- Phone
- (856) 816-5628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Specialist/Technologist | 246X00000X | MA03323600 | NJ | Primary |
Addresses
Primary practice location
317 George St
Suite 415
New Brunswick, NJ 08901-2008
Mailing address
PO Box 750
Moorestown, NJ 08057-0750
Phone (856) 816-5628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060201000197 | NJ | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3678587482 | Practice locations: New Brunswick, NJ |
National Provider Directory
National Provider DirectoryLocations
16 E 52nd St
New York, NY 10022
Phone (212) 752-2400
3000 Valley Forge Cir
Ste 3800
King of Prussia, PA 19406
Phone (610) 783-0930
Practitioners & 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.
-
- Vascular & Interventional Radiology Physician
- New Brunswick, NJ
- NPI 1013997428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1740237858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 750",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080570750",
"telephone_number": "856-816-5628",
"fax_number": "800-717-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 GEORGE ST",
"address_2": "SUITE 415",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012008",
"telephone_number": "609-396-0021",
"fax_number": "800-717-0334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDR DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "KATZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "856-816-5628"
},
"taxonomies": [
{
"code": "246X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist Cardiovascular",
"state": "NJ",
"license": "MA03323600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.