Organization Active NPI

Diagnostic Medical Consultants Inc.

  • Mobile Radiology Clinic/Center
  • East Orange, NJ
National Provider Identifier
1750409397
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
23092 Issued in NJ
Legal business name
DIAGNOSTIC MEDICAL CONSULTANTS INC.
Practice address
300 Central Ave
At East Orange General Hospital
East Orange, NJ 07018-2819
Phone
(866) 364-4674
Fax
(973) 673-3160
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mr. Michael Becker
Title
President
Phone
(732) 536-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 23092 NJ Primary

Addresses

Primary practice location

300 Central Ave
At East Orange General Hospital
East Orange, NJ 07018-2819

Mailing address

23 Kilmer Dr
Building One Suite E
Morganville, NJ 07751-1563
Phone (732) 536-8100

Other identifiers 1

IdentifierTypeStateIssuer
0045055MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1750409397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 KILMER DR",
            "address_2": "BUILDING ONE SUITE E",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511563",
            "telephone_number": "732-536-8100",
            "fax_number": "732-536-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE",
            "address_2": "AT EAST ORANGE GENERAL HOSPITAL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182819",
            "telephone_number": "866-364-4674",
            "fax_number": "973-673-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC MEDICAL CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-536-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NJ",
            "license": "23092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045055",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.