Carisk Imaging Ipa, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

CARISK IMAGING IPA, LLC

Practice address

25A Hanover Rd Ste 201
Florham Park, NJ 07932-1407

Phone

(973) 451-9415

Fax

(973) 451-9541

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kevin M Mahoney

Title

President

Phone

(770) 865-3222

Specialties & licenses 2

Addresses

Other names 1

• Atlantic Imaging Group-IPA, LLC Former legal business name

Locations

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1902142151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25A HANOVER RD STE 201",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321407",
            "telephone_number": "973-451-9415",
            "fax_number": "973-451-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25A HANOVER RD STE 201",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321407",
            "telephone_number": "973-451-9415",
            "fax_number": "973-451-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARISK IMAGING IPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-865-3222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Imaging Group-IPA, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Xellisex Carbajal
• Kristen Elizabeth Cardamone, DO
• Angela Paola Cardenas, PT
• Stephanie Cardillo, LCSW
• Carebral Palsy of North Jersey
• Arthur Carminucci, M.D.
• John A Carollo, D M D P A
• Kathleen Elizabeth Carrara, BCBA
• Mary Carrillo
• Mitchel S Carter, M.D.

• Exclusive Provider Organization in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Exclusive Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.