NPIMap

Organization Active NPI

Xra, P.a.

  • Diagnostic Radiology Physician
  • Whiting, NJ
National Provider Identifier
1891735189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
XRA, P.A.
Practice address
65 G Lacey Road
Whiting, NJ 08759
Phone
(732) 716-0300
Fax
(732) 716-0316
NPI assigned
Jun 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Peter M. Mezzacappa, M.D.NPI 1356363808
Title
Medical Director
Phone
(732) 716-0300

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
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

65 G Lacey Road
Whiting, NJ 08759

Mailing address

65 G Lacey Road
Whiting, NJ 08759
Phone (732) 716-0300

Other identifiers 1

IdentifierTypeStateIssuer
2778700MedicaidNJ

Other names 1

  • XRAY ASSOCIATES OF WHITING Other name

National Provider Directory

National Provider Directory

Locations

65 Lacey Rd
Ste G
Whiting, NJ 08759
Phone (732) 716-0300

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891735189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 G LACEY ROAD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "08759",
            "telephone_number": "732-716-0300",
            "fax_number": "732-716-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 G LACEY ROAD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "08759",
            "telephone_number": "732-716-0300",
            "fax_number": "732-716-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XRA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEZZACAPPA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-716-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2778700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XRAY ASSOCIATES OF WHITING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whiting, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.