ENGELWOOD DIAGNOSTIC & IMAGING CENTER LLC – NPI #1164967956
Clinic/Center

ENGELWOOD DIAGNOSTIC & IMAGING CENTER LLC is an AHC clinic located in ENGLEWOOD, NJ. NPPES has assigned the NPI number 1164967956 to ENGELWOOD DIAGNOSTIC & IMAGING CENTER LLC on January 03, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 5 years ago on Aug 10, 2021. 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 ENGELWOOD DIAGNOSTIC & IMAGING CENTER LLC below.

NPI Profile for
ENGELWOOD DIAGNOSTIC & IMAGING CENTER LLC

NPI Number
1164967956
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ENGELWOOD DIAGNOSTIC & IMAGING CENTER LLC
Primary location
177 N DEAN ST
SUITE 202
ENGLEWOOD, NJ 07631-2533
Phone: (201) 731-3507 Fax: (800) 394-6163
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SONIA LASMIN
DIRECTOR
Phone: (201) 874-9084
Updated
Certification Date
Aug 10, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

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
261QR0200X
- Clinic/Center / Radiology (Primary)		 NJ 24402
261QM1200X
- Clinic/Center / Magnetic Resonance Imaging (MRI)		 NJ 24402

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.