Organization Active NPI

Diagnostic Imaging Associates of North Jersey PA

Doing business as Fair Lawn Diagnostic Imaging Center

  • Radiology Clinic/Center
  • Fair Lawn, NJ
National Provider Identifier
1841381407
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
22535 Issued in NJ
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Joseph Louis Racanelli, MDNPI 1639194921
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1158252MedicaidNJ

Other names 1

  • Fair Lawn Diagnostic Imaging Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, WA, FL, NC, AZ6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20041229000522 NJ Part B Supplier - Clinic/Group Practice 3476511064 Receives reassigned benefits from 9 practitioners
Practice locations: Bergenfield, NJ; Englewood, NJ; Fair Lawn, NJ; Ringwood, NJ; Upper Saddle River, NJ
O20190403001736 NY Part B Supplier - Clinic/Group Practice 3476511064 Receives reassigned benefits from 10 practitioners
Practice locations: Ballston Lake, NY; Tarrytown, NY; Poughkeepsie, NY; Port Washington, NY; New Windsor, NY; New Rochelle, NY; Lagrangeville, NY; Latham, NY…
O20221004003304 WA Part B Supplier - Clinic/Group Practice 3476511064 Receives reassigned benefits from 1 practitioner
Practice locations: Moses Lake, WA
O20231121000664 FL Part B Supplier - Clinic/Group Practice 3476511064 Receives reassigned benefits from 2 practitioners
Practice locations: Delray Beach, FL; Palm Beach Gardens, FL
O20240808001848 NC Part B Supplier - Clinic/Group Practice 3476511064 Receives reassigned benefits from 2 practitioners
Practice locations: Charlotte, NC; Waxhaw, NC
O20250930004178 AZ Part B Supplier - Clinic/Group Practice 3476511064 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

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.

View all 53

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.

Verify at the official NPI Registry.