Organization Active NPI

Dependable Diagnostics

  • Clinical Medical Laboratory
  • Edison, NJ
National Provider Identifier
1790430080
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DEPENDABLE DIAGNOSTICS
Practice address
73 Lloyd St
Edison, NJ 08817-5254
Phone
(732) 306-8461
NPI assigned
Feb 16, 2022
Last updated
Feb 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Selina Bray, MSN, PMH-CNPI 1285388256
Title
Owner/Ceo
Phone
(732) 306-8461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

73 Lloyd St
Edison, NJ 08817-5254

Mailing address

335 George St Ste 4-1016
New Brunswick, NJ 08901-2036
Phone (732) 306-8461

National Provider Directory

National Provider Directory

Locations

335 George St
Ste 41016
New Brunswick, NJ 08901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1790430080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 GEORGE ST STE 4-1016",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012036",
            "telephone_number": "732-306-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LLOYD ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088175254",
            "telephone_number": "732-306-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDABLE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "732-306-8461",
        "authorized_official_credential": "MSN, PMH-C"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.