Active NPI
Hackettstown Radiology Associates
- Radiology Clinic/Center
- Hackettstown, NJ
National Provider Identifier
1982762142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- HACKETTSTOWN RADIOLOGY ASSOCIATES
- Practice address
- 651 Willow Grove St
Hackettstown Regional Medical Center
Hackettstown, NJ 07840 - Phone
- (908) 852-5100
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pak Kan Albert Lo, MD
- Title
- President
- Phone
- (908) 850-6842
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
651 Willow Grove St
Hackettstown Regional Medical Center
Hackettstown, NJ 07840
Mailing address
PO Box 655
Hackettstown, NJ 07840
Phone (908) 850-1319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3041701 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Diagnostic Radiology Physician
- Hackettstown, NJ
- NPI 1780760694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1982762142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "07840",
"telephone_number": "908-850-1319",
"fax_number": "908-850-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 WILLOW GROVE ST",
"address_2": "HACKETTSTOWN REGIONAL MEDICAL CENTER",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "07840",
"telephone_number": "908-852-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HACKETTSTOWN RADIOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "LO",
"authorized_official_first_name": "PAK KAN",
"authorized_official_middle_name": "ALBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-850-6842",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3041701",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
- Hackettstown Midwives (Midwives of New Jersey)
- Hackettstown Open MRI
- Hackettstown Orthopaedic Group
- Hackettstown Pediatrics, LLC
- Hackettstown Psychological Services
- Hackettstown Radiology Associates LLC
- Hackettstown Regional Medical Center Emergency Medical Services, Inc.
- Hackettstown Rehabilitation Clinic
- Hackettstown School District
- Marcia Stacy Haffner, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.