Active NPI
Diagnostic Imaging Associates of North Jersey PA
Doing business as Fair Lawn Diagnostic Imaging Center
- Radiology Clinic/Center
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 22535
- Legal business name
- DIAGNOSTIC IMAGING ASSOCIATES OF NORTH JERSEY PA
- Doing business as
- Fair Lawn Diagnostic Imaging Center
- Practice address
- 19-04 Fair Lawn Ave
Fair Lawn, NJ 07410-2341 - Phone
- (201) 794-3132
- Fax
- (201) 794-6291
- NPI assigned
- Sep 27, 2006
- Reactivated
- Oct 20, 2021
- Last updated
- Aug 18, 2026
- 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
- Joseph Louis Racanelli, MD
- Title
- Medical Director
- Phone
- (201) 794-3132
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 22535 | NJ | Primary |
Addresses
Primary practice location
19-04 Fair Lawn Ave
Fair Lawn, NJ 07410-2341
Mailing address
19-04 Fair Lawn Ave
Fair Lawn, NJ 07410-2341
Phone (201) 794-3132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1158252 | Medicaid | NJ |
Other names 1
- Fair Lawn Diagnostic Imaging Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, WA, FL, NC, AZ
Enrollment records 6
National Provider Directory
National Provider DirectoryLocations
19-04 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone (518) 417-2474
700 W Virginia St
Ste 305
Milwaukee, WI 53204
Practitioners & affiliated clinicians
Practitioners 53
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.
-
- Diagnostic Radiology Physician
- Poughkeepsie, NY
- NPI 1922007632
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1164439873
-
- Diagnostic Radiology Physician
- Middletown, NY
- NPI 1467434613
-
- Vascular & Interventional Radiology Physician
- Teaneck, NJ
- NPI 1740635036
Multi-Specialty
-
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1770544348
-
- Diagnostic Radiology Physician
- Moses Lake, WA
- NPI 1871608539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1841381407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19-04 FAIR LAWN AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074102341",
"telephone_number": "201-794-3132",
"fax_number": "201-794-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19-04 FAIR LAWN AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074102341",
"telephone_number": "201-794-3132",
"fax_number": "201-794-6291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC IMAGING ASSOCIATES OF NORTH JERSEY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"deactivation_date": "2021-08-26",
"reactivation_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "RACANELLI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "201-794-3132",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NJ",
"license": "22535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1158252",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fair Lawn Diagnostic Imaging Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fair Lawn Diagnostic Imaging Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.