Mercer Diagnostic Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MERCER DIAGNOSTIC IMAGING, LLC

Practice address

1245 Whitehorse Mercerville Rd Ste 403
Hamilton, NJ 08619-3831

Phone

(609) 581-2727

NPI assigned

Mar 13, 2020

Last updated

Aug 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nazish N Khan

Title

Ceo

Phone

(215) 990-9336

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: info@mercerdiagnosticimaging.com

Practitioners 6

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.

• Ralph Dauito, MD

  • Diagnostic Radiology Physician
  • Absecon, NJ
  • NPI 1073562872
  Medicare reassignment Care Compare group NPD
• Michael G Stebbins, M.D.

  • Diagnostic Radiology Physician
  • Princeton, NJ
  • NPI 1619975489
  Medicare reassignment Care Compare group NPD
• Reginald Denis, MD

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1699984682

  NJ

  Medicare reassignment Care Compare group NPD
• Richard J Daniels, MD

  • Vascular Surgery Physician
  • Toms River, NJ
  • NPI 1417905043

  Diagnostic Radiology

  Medicare reassignment NPD
• Michael D. Green, MD

  • Diagnostic Radiology Physician
  • Englewood, NJ
  • NPI 1447359054

  Multi-Specialty

  Medicare reassignment NPD
• Mershad Hagigi, MD, PH.D.

  • Diagnostic Radiology Physician
  • Bay Shore, NY
  • NPI 1700083763

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1841826567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD STE 403",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-581-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD STE 403",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-581-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER DIAGNOSTIC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NAZISH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-990-9336"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW JERSEY",
            "identifier": "0450465869",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@MERCERDIAGNOSTICIMAGING.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HAMILTON",
            "address_1": "1245 Whitehorse Mercerville Rd Ste 403",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086193831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nash@4mdimaging.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "1245 Whitehorse-Mercerville Rd suite 403 Hamilton NJ 08619",
            "address_1": "1245 Whitehorse Mercerville Rd Ste 403",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086193831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nash@4mdimaging.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1245 Whitehorse Mercerville Rd Ste 403",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086193831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mercer Bucks Orthopaedics P.C.
• Mercer County Geriatric Center
• Mercer County Hypertension Clinic LLC
• Mercer County Pediatrics
• Mercer County Special Services School District
• Mercer Endocrine Care LLC
• Mercer Family Chiropractic (Civinski Chiropractic Center)
• Mercer Practice Group
• Mercer Practice Group
• Mercer Renal Associates PA

• Diagnostic Radiology Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.