MONTCLAIR RADIOLOGY – NPI #1194810531
Radiology

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

Health Care Provider Taxonomy Code for Radiology

MONTCLAIR RADIOLOGY is a radiologist located in NUTLEY, NJ. NPPES has assigned the NPI number 1194810531 to MONTCLAIR RADIOLOGY on October 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MONTCLAIR RADIOLOGY” is a dba name, the actual legal business name for this organization is MONTCLAIR RADIOLOGICAL ASSOC ,PA. 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 3 years ago on Jan 17, 2023. 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 MONTCLAIR RADIOLOGY below.

NPI Profile for
MONTCLAIR RADIOLOGICAL ASSOC ,PA

NPI Number
1194810531
Enumeration Date

(more than 19 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
MONTCLAIR RADIOLOGICAL ASSOC ,PA
Doing Business As (dba): MONTCLAIR RADIOLOGY
Primary location
20 HIGH ST
NUTLEY, NJ 07110
Phone: (973) 284-0020 Fax: (973) 284-6310
Mailing address
116 PARK ST
MONTCLAIR, NJ 07042-2930
Phone: (973) 284-0028 Fax: (973) 778-6203
Organization Subpart
No
Authorized Official
AMY LASZCZYNSKI
ADMINISTRATIVE ASSISTANT
Phone: (973) 284-0038
Updated
Certification Date
Jan 17, 2023

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.

Identifiers

Identifiers for MONTCLAIR RADIOLOGY

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.

DescriptionIssuerStateIdentifier
medicaidNJ2608103
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)		 NJ 23399

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.