Individual provider Active NPI

Christian P. Annese, M.D.

  • Diagnostic Radiology Physician
  • Rutherford, NJ
National Provider Identifier
1902005093
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA08594600 Issued in NJ
Practice address
69 Orient Way
Medical Imaging, P.a.
Rutherford, NJ 07070-2011
Phone
(201) 933-5666
Fax
(201) 933-5662
NPI assigned
Jul 17, 2007
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 231754 MA
Diagnostic Radiology Physician 2085R0202X 0101244012 VA
Diagnostic Radiology Physician 2085R0202X 25MA08594600 NJ Primary

Addresses

Primary practice location

69 Orient Way
Medical Imaging, P.a.
Rutherford, NJ 07070-2011

Mailing address

401 Sylvan Avenue
Englewood Cliffs, NJ 07632-2602
Phone (201) 541-5401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090827000481 NJ Practitioner - Diagnostic Radiology 5799873147 Reassigns benefits to 3 organizations
I20140905001462 NY Practitioner - Diagnostic Radiology 5799873147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians
The New Jersey Imaging Network, LLCGroup PAC ID 2860633492, 68 clinicians

Practice addresses (Care Compare)

11 Northwood Dr
Franklin Lakes, NJ 07417-2292
Phone (903) 864-1239

17 White Horse Pike
Haddon Heights, NJ 08035-1299
Phone (856) 546-1177

8940 56TH Ave
Elmhurst, NY 11373-4933
Phone (718) 335-5532

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75.64 of 100Reported as group
Quality
55.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
231754MAMDAmbulatory Care Registered Nurse
25MA08594600NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
The New Jersey Imaging Network, LLC CurrentSince May 4, 2013 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Past Accepting new patients
Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce Diagnostic Radiology Past Accepting new patients
Bih Radiologic Foundation Inc Diagnostic Radiology Past Accepting new patients
Carroll Pinto Inc Past Accepting new patients
Suffolk Radiology Associates, Inc. Diagnostic Radiology Past Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

27695 Network Pl
Chicago, IL 60673

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

25 S Union Ave
Cranford, NJ 07016
Phone (908) 577-5500

401 Sylvan Ave
Englewood Cliffs, NJ 07632
Phone (201) 541-5401

17 White Horse Pike
Ste 9
Haddon Hgts, NJ 08035
Phone (856) 546-1177

69 Orient Way
Rutherford, NJ 07070
Phone (201) 559-4140

157 Fries Mill Rd
Turnersville, NJ 08012
Phone (856) 677-1010

769 Northfield Ave
Ste LL20
West Orange, NJ 07052
Phone (973) 669-9595

772 Northfield Ave
West Orange, NJ 07052
Phone (973) 325-0002

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

147 W 15th St
New York, NY 10011
Phone (212) 473-5323

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1902005093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SYLVAN AVENUE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322602",
            "telephone_number": "201-541-5401",
            "fax_number": "201-816-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ORIENT WAY",
            "address_2": "MEDICAL IMAGING, P.A.",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702011",
            "telephone_number": "201-933-5666",
            "fax_number": "201-933-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNESE",
        "first_name": "CHRISTIAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "231754",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101244012",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08594600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.