NPIMap

Organization Active NPI

Radius Telemed, LLC

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1821618968
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RADIUS TELEMED, LLC
Practice address
2 2ND St PH 4102
Jersey City, NJ 07302-7028
Phone
(201) 294-6209
NPI assigned
Apr 18, 2020
Last updated
Apr 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Authorized official

Name
Dr. Dani Korya, MD
Title
Chief Medical Officer
Phone
(201) 294-6209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2 2ND St PH 4102
Jersey City, NJ 07302-7028

Mailing address

21 Lincoln Ave
Elmwood Park, NJ 07407-1614
Phone (877) 360-1122

Other practice location 1

55 Meadowlands Pkwy
Secaucus, NJ 07094-2977
Phone (877) 360-1122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587168000000",
    "number": "1821618968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LINCOLN AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071614",
            "telephone_number": "877-360-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 2ND ST PH 4102",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073027028",
            "telephone_number": "201-294-6209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Meadowlands Pkwy",
            "address_purpose": "LOCATION",
            "city": "Secaucus",
            "state": "NJ",
            "postal_code": "070942977",
            "country_code": "US",
            "telephone_number": "877-360-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIUS TELEMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-18",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A",
        "authorized_official_last_name": "KORYA",
        "authorized_official_first_name": "DANI",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "201-294-6209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.