Pennsauken Diagnostic Center

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

PENNSAUKEN DIAGNOSTIC CENTER

Practice address

6027 South Crescent Blvd
Pennsauken, NJ 08110-6401

Phone

(856) 662-7581

Fax

(856) 662-7584

NPI assigned

Sep 25, 2012

Organization subpart

Yes

Parent organization

PENNSAUKEN DIAGNOSTIC CENTERAs reported in NPPES

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

Authorized official

Name

Mrs. Shazeen Ali, D.O

Title

Administrator/Chief Executive Offic

Phone

(856) 662-7581

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Part of

Pennsauken Diag Ctr LLC

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Paul Brownstein, M.D.

  • Diagnostic Radiology Physician
  • Springfield, NJ
  • NPI 1275673741
  Medicare reassignment Care Compare group NPD
• Robert Frederick Traflet, M.D.

  • Diagnostic Radiology Physician
  • Oradell, NJ
  • NPI 1609982073
  Medicare reassignment Care Compare group NPD
• Kenneth B Blatt, M.D.

  • Diagnostic Radiology Physician
  • Maplewood, NJ
  • NPI 1326078320
  NPD (past)
• Alan J Heideman, MD

  • Diagnostic Radiology Physician
  • Somerset, NJ
  • NPI 1114971827
  NPD (past)

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1760733109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 SOUTH CRESCENT BLVD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081106401",
            "telephone_number": "856-662-7581",
            "fax_number": "856-662-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 SOUTH CRESCENT BLVD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081106401",
            "telephone_number": "856-662-7581",
            "fax_number": "856-662-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSAUKEN DIAGNOSTIC CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENNSAUKEN DIAGNOSTIC CENTER",
        "enumeration_date": "2012-09-25",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SHAZEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR/CHIEF EXECUTIVE OFFIC",
        "authorized_official_telephone_number": "856-662-7581",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0311715",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shivani Patel, DO
• Sonal Patel, DMD
• Jo Ann Donna Pecca, D.O.
• Pegasus the Arts, Inc.
• Pennsauken Board of Education
• Pennsauken Family Dental Inc.
• Pennsauken Imaging, LLC
• Pennsauken Medical Center LLC
• Pennsauken Spine and Rehab
• Pennsuaken Family Practice, PC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.

Verify at the official NPI Registry.