Organization Active NPI

Healthwave Ultrasound LLC

  • Mobile Radiology Clinic/Center
  • North Haledon, NJ
National Provider Identifier
1942024336
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
HEALTHWAVE ULTRASOUND LLC
Practice address
74 Grandview Dr
North Haledon, NJ 07508-2731
Phone
(845) 248-9398
NPI assigned
Nov 12, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Monica Maria Tabares, RVT
Title
Ceo
Phone
(845) 248-9398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

74 Grandview Dr
North Haledon, NJ 07508-2731

Mailing address

74 Grandview Dr
North Haledon, NJ 07508-2731
Phone (845) 248-9398

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1942024336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 GRANDVIEW DR",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082731",
            "telephone_number": "845-248-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 GRANDVIEW DR",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082731",
            "telephone_number": "845-248-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWAVE ULTRASOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "TABARES",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-248-9398",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haledon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.