FAZLOLLAH GOLESTANEH MD – NPI #1780785311
Radiology

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

FAZLOLLAH GOLESTANEH is a radiologist located in HADDONFIELD, NJ. NPPES has assigned the NPI number 1780785311 to FAZLOLLAH GOLESTANEH on September 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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 17 years ago on Jan 30, 2009. 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 FAZLOLLAH GOLESTANEH below.

NPI Profile for
FAZLOLLAH GOLESTANEH

NPI Number
1780785311
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FAZLOLLAH GOLESTANEH
Credentials
MD
Primary location
66 TANNER STREET
SAM RADIOLOGY SERVICES, LLC
HADDONFIELD, NJ 08033
Phone: (856) 507-9512 Fax: (856) 507-9516
Mailing address
PO BOX 2300
SAM RADIOLOGY SERVICES, LLC
VINELAND, NJ 08362-2300
Phone: (856) 507-9512 Fax: (856) 507-9516
Sole Proprietor
No
Updated
Identifiers

Identifiers for FAZLOLLAH GOLESTANEH

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
MEDICAIDNJ2323206
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 25MA03109900

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.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
FAZLOLLAH GOLESTANEH is affiliated with the following medical group(s):
  • HOSPITAL
    • CAPE REGIONAL MEDICAL CENTER INC
      TWO STONE HARBOR BLVD
      CAPE MAY COURT HOUSE, NJ 08210
    • COOPER UNIVERSITY HOSPITAL
      1 COOPER PLAZA
      CAMDEN, NJ 08103
    • INSPIRA MEDICAL CENTER ELMER
      501 WEST FRONT STREET
      ELMER, NJ 08318
    • INSPIRA MEDICAL CENTER VINELAND
      1505 W SHERMAN AVE
      VINELAND, NJ 08360
    • VIRTUA OUR LADY OF LOURDES HOSPITAL
      1600 HADDON AVENUE
      CAMDEN, NJ 08103

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