CRANFORD DIAGNOSTIC IMAGING – NPI #1366436552
Radiology

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

CRANFORD DIAGNOSTIC IMAGING is a radiologist located in CRANFORD, NJ. NPPES has assigned the NPI number 1366436552 to CRANFORD DIAGNOSTIC IMAGING on September 02, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CRANFORD DIAGNOSTIC IMAGING” is a dba name, the actual legal business name for this organization is CRANFORD DIAGNOSTIC IMAGING 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 4 years ago on Jul 21, 2022. 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 CRANFORD DIAGNOSTIC IMAGING below.

NPI Profile for
CRANFORD DIAGNOSTIC IMAGING PA

NPI Number
1366436552
Enumeration Date

(about 21 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
CRANFORD DIAGNOSTIC IMAGING PA
Doing Business As (dba): CRANFORD DIAGNOSTIC IMAGING
Primary location
25 S UNION AVE
CRANFORD DIAGNOSTIC IMAGING
CRANFORD, NJ 07016
Phone: (908) 709-1323 Fax: (908) 709-1329
Mailing address
1455 BROAD ST
CRANFORD DIAGNOSTIC IMAGING PA 4TH FLOOR
BLOOMFIELD, NJ 07003
Phone: (973) 873-9889 Fax: (973) 707-1127
Organization Subpart
No
Authorized Official
DAVID BLOOM
PRESIDENT
Phone: (617) 236-0220
Updated
Identifiers

Identifiers for CRANFORD 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.

DescriptionIssuerStateIdentifier
MEDICAIDNJ8384509
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

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.