CLIFFSIDE PARK IMAGING AND DIAGNOSTIC CENTER, LLC – NPI #1104843689
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIFFSIDE PARK IMAGING AND DIAGNOSTIC CENTER, LLC is a radiologist located in CLIFFSIDE PARK, NJ. NPPES has assigned the NPI number 1104843689 to CLIFFSIDE PARK IMAGING AND DIAGNOSTIC CENTER, LLC on July 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 CLIFFSIDE PARK IMAGING AND DIAGNOSTIC CENTER, LLC below.

NPI Profile for
CLIFFSIDE PARK IMAGING AND DIAGNOSTIC CENTER, LLC

NPI Number
1104843689
Enumeration Date

(about 20 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
CLIFFSIDE PARK IMAGING AND DIAGNOSTIC CENTER, LLC
Primary location
596 ANDERSON AVENUE
SUITE 120
CLIFFSIDE PARK, NJ 07010
Phone: (201) 945-6747 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL DAVIT
MANAGER
Phone: (201) 724-8124
Updated
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

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.