Superior Medical Diagnostics II LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

22755 Issued in NJ

Legal business name

SUPERIOR MEDICAL DIAGNOSTICS II LLC

Practice address

235 Franlin Avenue
Nutley, NJ 07110

Phone

(973) 235-9090

Fax

(973) 235-0795

NPI assigned

Jul 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa A. Gagliano, RT CXT

Title

Administrator

Phone

(973) 235-9090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• James A Heimann, M.D.

  • Vascular & Interventional Radiology Physician
  • Belleville, NJ
  • NPI 1528099900
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801821160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 FRANLIN AVENUE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-235-9090",
            "fax_number": "973-235-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 FRANLIN AVENUE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-235-9090",
            "fax_number": "973-235-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL DIAGNOSTICS II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGLIANO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-235-9090",
        "authorized_official_credential": "RT CXT"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "22755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9122907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jonathan Straker, M.D.
• Strength Together Incorporated
• Strengthen Counseling LLC
• Jessica Jane Sullivan, PA-C
• Nicole Sunga, FNP, RN
• Supportive Choices LLC
• Susan Valenza Optician, Inc
• Kristin Suydam, LCSW
• Caitlyn Tamayo
• Gabrielle Tantillo

• Radiology Clinic/Center in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Radiology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.