Active NPI
Mobile Diagnostic X-Ray, Inc.
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Bayville, NJ
National Provider Identifier
1831150606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- MOBILE DIAGNOSTIC X-RAY, INC.
- Practice address
- 1091 Bayview Ave
Bayville, NJ 08721-3130 - Phone
- (732) 269-4343
- NPI assigned
- Mar 31, 2006
- Last updated
- Feb 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack Barker
- Title
- President
- Phone
- (732) 269-4343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | NU | Primary |
Addresses
Primary practice location
1091 Bayview Ave
Bayville, NJ 08721-3130
Mailing address
1091 Bayview Ave
Bayville, NJ 08721-3130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100205000026 | NJ | Part B Supplier - Portable X-Ray Supplier | 4183767635 | Practice locations: Manalapan, NJ |
National Provider Directory
National Provider DirectoryLocations
100 Wood Ave S
Ste 110
Iselin, NJ 08830
Phone (516) 986-2700
Practitioners & affiliated clinicians
Practitioners 7
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.
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- NPI 1891701959
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- NPI 1821040866
-
- Diagnostic Radiology Physician
- Tamc, HI
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265241600000",
"number": "1831150606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1091 BAYVIEW AVE",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087213130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 BAYVIEW AVE",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087213130",
"telephone_number": "732-269-4343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE DIAGNOSTIC X-RAY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2010-02-04",
"status": "A",
"authorized_official_last_name": "BARKER",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-269-4343"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.