Progressive Medical Imaging of Union City, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

22927 Issued in NJ

Legal business name

PROGRESSIVE MEDICAL IMAGING OF UNION CITY, LLC

Doing business as

Progressive Medical Imagin At the Kennedy Center

Practice address

3196 Kennedy Blvd
Union City, NJ 07087

Phone

(201) 865-6100

Fax

(201) 865-6102

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Farrell

Title

Managing Member

Phone

(201) 541-5401

Specialties & licenses 1

Addresses

Other names 1

• Progressive Medical Imagin At the Kennedy Center Doing business as

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1972689909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785956",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001",
            "telephone_number": "201-541-5401",
            "fax_number": "201-541-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-865-6100",
            "fax_number": "201-865-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL IMAGING OF UNION CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-541-5401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "22927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Medical Imagin At the Kennedy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prescription Center Pharmacy Inc
• Alejandro Presilla, MD
• Prime Aid Pharmacy Corp
• Prime Pharmacy Group LLC
• Pro Medquip
• Progressive Pediatrics
• Daisy Pujals, L.S.W.
• Diana L Punales Morejon, PHD
• Clementino Purisima, MD
• Jonathan Grecia Purisima, DPM

• Radiology Clinic/Center in Union City, NJ
• Providers in Union City, NJ by specialty
• Radiology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.