Active NPIOrganization

Prime Radiology, LLC

Radiology, Radiological Physics in Newark, New Jersey

NPI Number1164437547
Practice location
111 Central Ave, Newark, NJ 07102-1909
Fax
—
Last updated
September 11, 2025

Prime Radiology, LLC is a healthcare organization based in Newark, NJ. Prime Radiology, LLC practices in Newark, NJ. The NPI Number for Prime Radiology, LLC is 1164437547. The current practice location address for Prime Radiology, LLC is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5287.

Provider Profile Details

NPI Number
1164437547
Provider Name
Prime Radiology, LLC
Provider Entity Type
Organization
Address
111 Central Ave, Newark, NJ 07102-1909
Phone Number
973-877-5287
Primary Taxonomy
Radiology, Radiological Physics · 2085R0205X
Organization Subpart
No
Authorized Official
Dr. Suresh P Mody, MD · President · 973-877-5287
Provider Enumeration Date
July 31, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5287
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
66 W Gilbert St
2ND Floor
Tinton Falls, NJ 07701-4947
City
Tinton Falls
State
NJ
Zip
07701-4947
Phone Number
732-212-0051
Fax Number
732-212-0052

License Information

License State (1)
NJ
Taxonomy (1)
Radiology, Body Imaging · 2085B0100X
License State (2)
NJ
Taxonomy (2)
· 2085N0700X
License State (3)
NJ
Taxonomy (3)
· 2085N0904X
License State (4)
NJ
Taxonomy (4)
Radiology, Diagnostic Radiology · 2085R0202X
License State (5)
NJ
Taxonomy (5)
Radiology, Radiological Physics · 2085R0205X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Prime Radiology, LLC?

The NPI number of Prime Radiology, LLC is 1164437547. It was assigned on July 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Prime Radiology, LLC?

Prime Radiology, LLC is registered under the primary taxonomy Radiology, Radiological Physics (code 2085R0205X).

Where does Prime Radiology, LLC practice?

The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5287 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164437547 directly on the NPPES registry website.

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