Active NPI
Diagnostic Medical Consultants Inc.
- Mobile Radiology Clinic/Center
- East Orange, NJ
National Provider Identifier
1750409397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- 23092
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0045055 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI 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.