Organization Active NPI

Rapid Access Medical Diagnostics NJ LLC

  • Diagnostic Ultrasound Physician
  • Randolph, NJ
National Provider Identifier
1780940551
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
RAPID ACCESS MEDICAL DIAGNOSTICS NJ LLC
Practice address
111 Canfield Ave
Suite C
Randolph, NJ 07869-1127
Phone
(551) 221-8401
Fax
(551) 221-8408
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Dr. Oreste Bruni, M.D.
Title
President/Owner
Phone
(551) 221-8401

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

111 Canfield Ave
Suite C
Randolph, NJ 07869-1127

Mailing address

111 Canfield Ave
Suite C
Randolph, NJ 07869-1127
Phone (551) 221-8401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120517000116 NJ Part B Supplier - Clinic/Group Practice 4284897935 Receives reassigned benefits from 3 practitioners
Practice locations: Leonia, NJ; Long Branch, NJ; Lyndhurst, NJ; Monmouth Junction, NJ; Montville, NJ; New Brunswick, NJ; Nutley, NJ; Palisades Park, NJ…

National Provider Directory

National Provider Directory

Locations

988 Broadway
Bayonne, NJ 07002
Phone (201) 339-6111

570 South Ave E
Bldg G1
Cranford, NJ 07016

629 Amboy Ave
Ste 201
Edison, NJ 08837

115 Jefferson Ave
Elizabeth, NJ 07201
Phone (908) 351-6663

464 Hudson Ter
Ste 201A
Englewood Cliffs, NJ 07632
Phone (201) 503-0828

32 Church St
Flemington, NJ 08822
Phone (908) 782-0722

5 Hastings SQ Mall
Hackettstown, NJ 07840
Phone (973) 292-1020

150 Lakeside Blvd
Ste 1
Landing, NJ 07850
Phone (973) 398-6300

183 Franklin Corner Rd
Lawrenceville, NJ 08648
Phone (609) 737-3525

4105 US Highway 1
Ste 1
Monmouth Junction, NJ 08852
Phone (732) 274-2127

137 Livingston Ave
New Brunswick, NJ 08901
Phone (516) 815-6212

111 Canfield Ave
Ste C
Randolph, NJ 07869
Phone (516) 815-6212

5 Globe Ct
Red Bank, NJ 07701
Phone (732) 219-0110

180 Avenue At the Cmn
Ste 6
Shrewsbury, NJ 07702
Phone (732) 221-9741

2401 Morris Ave
Ste 1
Union, NJ 07083

111 Northfield Ave
Ste 207
West Orange, NJ 07052
Phone (800) 689-3275

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1780940551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CANFIELD AVE",
            "address_2": "SUITE C",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691127",
            "telephone_number": "551-221-8401",
            "fax_number": "551-221-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CANFIELD AVE",
            "address_2": "SUITE C",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691127",
            "telephone_number": "551-221-8401",
            "fax_number": "551-221-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPID ACCESS MEDICAL DIAGNOSTICS NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "BRUNI",
        "authorized_official_first_name": "ORESTE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "551-221-8401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.