Atlantic Imaging Services LLC
Organization Active NPI Diagnostic Radiology Physician · Morristown, NJ
NPI 1972114361 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1972114361
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- ATLANTIC IMAGING SERVICES LLC
- Practice address
- 100 Madison Ave
Morristown, NJ 07960-6136 - Phone
- (973) 971-5000
- NPI assigned
- Aug 11, 2020
- Organization subpart
- No
Authorized official
- Name
- Steven Sheris, MD
- Title
- SVP Physician Enterprise
- Phone
- (973) 630-8980
Practitioners 108
-
Mario G Arredondo, M.D.
-
Hamid Franz Bagce, M.D., PH.D.
-
Loucia Barton, M.D.
-
Lisa Taub Bash, M.D.
-
Douglas C Boxer, MD
-
Gregory Brody, MD
-
Sean K Calhoun, D.O.
-
Priti Chandiwala-Mody, D.O.
-
Susie Chen, MD
-
Jean Y Chung, M.D.
-
Emily R Convery, MD
-
Mark O Cosentino, M.D.
-
Samy Dhurairaj, MD
-
Michael Duhaney, MD
-
Jean-Paul Dym, M.D.
-
Joseph Michael Estacio, D.O.
-
Paul D Friedman, D.O.
-
Vyacheslav Gendel, M.D.
-
Hal N Ginsberg, M.D.
-
David Alan Green, M.D.
-
Patrick Hines, MD
-
David H Hoffman, M.D.
-
Neil B Horner, MD
-
Basil Hubbi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210203000679 | NJ | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7416361407 | Practice locations: Clark, NJ |
| O20220614000109 | NJ | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7416361407 | Practice locations: Paramus, NJ |
| O20221115001013 | NJ | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7416361407 | Practice locations: Parsippany, NJ |
| O20240805002100 | NJ | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7416361407 | Practice locations: Bayonne, NJ |
National Provider Directory
Locations
471 Broadway
Ste 400
Bayonne, NJ 07002
Phone (973) 436-0511
140 Central Ave
Ste 600
Clark, NJ 07066
Phone (732) 943-5030
140 Central Ave
Clark, NJ 07066
Phone (732) 499-0606
3025 Paramus Park Mall
Ste 300
Paramus, NJ 07652
Phone (201) 267-6889
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician |
2085B0100X | |||
| Nuclear Radiology Physician |
2085N0904X | |||
| Pediatric Radiology Physician |
2085P0229X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Vascular & Interventional Radiology Physician |
2085R0204X | |||
| Diagnostic Ultrasound Physician |
2085U0001X |
Addresses
Primary practice location
100 Madison Ave
Morristown, NJ 07960-6136
Mailing address
465 South St Ste 200
Morristown, NJ 07960-6439
Other providers in Morristown, NJ
- Atlantic Health Partners
- Atlantic Health System Inc (Morristown Medical Center)
- Atlantic Health System Inc.
- Atlantic Health, Morristown Memorial Hospital
- Atlantic Hyperbaric Associates,LLC
- Atlantic Neuro Associates LLC
- Atlantic Neurosurgical Specialists PA
- Atlantic Spine Specialists
- Arthur B Atlas
- Ian Atlas
All providers in Morristown, NJ · Diagnostic Radiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.