Executive Diagnosis Service

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Legal business name

EXECUTIVE DIAGNOSIS SERVICE

Practice address

39 Aycrigg Avenue
Passaic, NJ 07055

Phone

(551) 587-1150

Fax

(973) 777-1636

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Ana Virginia DelacruzNPI 1811214687

Title

Owner

Phone

(551) 587-1150

Specialties & licenses 1

Addresses

Tax ID family

Executive Diagnosis Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Executive Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Paterson, NJ
  • NPI 1730439415
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ana Virginia Delacruz, NCV TECHNICIAN

  • Other Specialist/Technologist
  • Passaic, NJ
  • NPI 1811214687
  NPD (past) Authorized official

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1841501244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 AYCRIGG AVENUE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "551-587-1150",
            "fax_number": "973-777-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 AYCRIGG AVENUE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "551-587-1150",
            "fax_number": "973-777-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE DIAGNOSIS SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-587-1150"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Espinosa, RD
• Yokaira A. Espiritusanto, DPM
• Estela Guerrero DDS LLC
• Henry Estrada, D.C,
• Everest Applied Behavior Analysis NJ LLC
• Avi Y Factor, M.D.
• Faith Fitter LLC
• Suzan L. Faltas-Fouad, MD
• Family Enhancement LLC
• Family Eye Center, P.a.

• Radiologic Technologist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Radiologic Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.