Active NPI
Stat Radiology LLC
Doing business as Brick Imaging
- Radiology Clinic/Center
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 23006
- Legal business name
- STAT RADIOLOGY LLC
- Doing business as
- Brick Imaging
- Practice address
- 1608 Route 88 W
Ste 102
Brick, NJ 08724-3009 - Phone
- (732) 836-9300
- Fax
- (732) 836-9305
- NPI assigned
- Jun 20, 2005
- Last updated
- Jul 16, 2008
- 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
- Duc T Tran, M.D.
- Title
- Medical Director/Partner
- Phone
- (732) 836-9300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 23006 | NJ | Primary |
Addresses
Primary practice location
1608 Route 88 W
Ste 102
Brick, NJ 08724-3009
Mailing address
1166 River Ave
Ste 102
Lakewood, NJ 08701-5600
Phone (732) 364-9565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH4391 | Other | NJ | RAILROAD |
Other names 1
- Brick Imaging
National Provider Directory
National Provider Directory- Tax ID family
- Brick Imaging
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiology Clinic/Center
- Lakewood, NJ
- NPI 1821298647
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Brick, NJ
- NPI 1073518684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1851396493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 RIVER AVE",
"address_2": "STE 102",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015600",
"telephone_number": "732-364-9565",
"fax_number": "732-364-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 ROUTE 88 W",
"address_2": "STE 102",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243009",
"telephone_number": "732-836-9300",
"fax_number": "732-836-9305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAT RADIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-20",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "DUC",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/PARTNER",
"authorized_official_telephone_number": "732-836-9300",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NJ",
"license": "23006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "CH4391",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brick Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.