Organization Active NPI

DWF Imaging LLC

  • Diagnostic Radiology Physician
  • Wayne, NJ
National Provider Identifier
1740599042
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA06322000 Issued in NJ
Legal business name
DWF IMAGING LLC
Practice address
87 Berdan Ave
Suite 2B
Wayne, NJ 07470-3210
Phone
(973) 692-9631
Fax
(973) 692-1112
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. Ralph Wheeler
Title
Managing Partner
Phone
(973) 692-9631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 25MA06322000 NJ Primary

Addresses

Primary practice location

87 Berdan Ave
Suite 2B
Wayne, NJ 07470-3210

Mailing address

87 Berdan Ave
Suite 2B
Wayne, NJ 07470-3210

Other identifiers 1

IdentifierTypeStateIssuer
8651400MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1740599042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 BERDAN AVE",
            "address_2": "SUITE 2B",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 BERDAN AVE",
            "address_2": "SUITE 2B",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703210",
            "telephone_number": "973-692-9631",
            "fax_number": "973-692-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWF IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "973-692-9631",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06322000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8651400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.