PROGRESSIVE DIAGNOSTIC IMAGING – NPI #1134354210
Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
PROGRESSIVE DIAGNOSTIC IMAGING is an AHC clinic located in RIVERDALE, NJ. NPPES has assigned the NPI number 1134354210 to PROGRESSIVE DIAGNOSTIC IMAGING on May 19, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROGRESSIVE DIAGNOSTIC IMAGING” is a dba name, the actual legal business name for this organization is PROGRESSIVE DIAGNOSTIC IMAGING, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROGRESSIVE DIAGNOSTIC IMAGING below.
NPI Profile for
PROGRESSIVE DIAGNOSTIC IMAGING, LLC
(more than 17 years ago)
SUITE 16
RIVERDALE, NJ 07457 Phone: (973) 839-5004 Fax: (973) 839-5006
PRINCIPAL/PRACTICE ADMINISTRATOR
Phone: (973) 839-5004
Identifiers for PROGRESSIVE DIAGNOSTIC IMAGING
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | STATE LICENSE NUMBER | NJ | 24086 |
| MEDICAID | NJ | 0163945 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261Q00000X - Clinic/Center (Primary) |
NJ | 24086 |
| 2085R0202X - Radiology / Diagnostic Radiology |
NJ | 24086 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.