Organization Active NPI

Totowa Medical Imaging

  • Diagnostic Radiology Physician
  • Totowa, NJ
National Provider Identifier
1932707528
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TOTOWA MEDICAL IMAGING
Practice address
472 Union Blvd
Totowa, NJ 07512-2589
Phone
(201) 936-8242
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Faria KhanNPI 1871191098
Title
Owner
Phone
(201) 936-8242

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

472 Union Blvd
Totowa, NJ 07512-2589

Mailing address

472 Union Blvd
Totowa, NJ 07512-2589
Phone (201) 936-8242

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TOTOWAIMAGING.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210210001390 NJ Part B Supplier - Clinic/Group Practice 8820403538 Receives reassigned benefits from 2 practitioners
Practice locations: Totowa, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1932707528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122589",
            "telephone_number": "201-936-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122589",
            "telephone_number": "201-936-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTOWA MEDICAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-936-8242"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TOTOWAIMAGING.COM",
            "affiliation": "N",
            "endpointDescription": "SERVER",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "472 Union Blvd",
            "city": "Totowa",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "075122589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.