Active NPIOrganization

Engelwood Diagnostic & Imaging Center LLC

Clinic/Center, Radiology in Englewood, New Jersey

NPI Number1164967956
Practice location
177 N Dean St, Suite 202, Englewood, NJ 07631-2533
Fax
800-394-6163
Last updated
August 10, 2021

Engelwood Diagnostic & Imaging Center LLC is a healthcare organization based in Englewood, NJ. Engelwood Diagnostic & Imaging Center LLC practices in Englewood, NJ. The NPI Number for Engelwood Diagnostic & Imaging Center LLC is 1164967956 and holds a License No. 24402 (NJ). The current practice location address for Engelwood Diagnostic & Imaging Center LLC is 177 N Dean St, Suite 202, Englewood, NJ 07631-2533 and can be reached out via phone at 201-731-3507 and via fax at 800-394-6163.

Provider Profile Details

NPI Number
1164967956
Provider Name
Engelwood Diagnostic & Imaging Center LLC
Provider Entity Type
Organization
Address
177 N Dean St, Suite 202, Englewood, NJ 07631-2533
Phone Number
201-731-3507
Fax Number
800-394-6163
Primary Taxonomy
Clinic/Center, Radiology · 261QR0200X
Organization Subpart
No
Authorized Official
Sonia Lasmin · Director · 201-874-9084
Provider Enumeration Date
January 3, 2017
Last Update Date
August 10, 2021
Certification Date
August 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
177 N Dean St
Suite 202
Englewood, NJ 07631-2533
Zip
07631-2533
Phone Number
201-731-3507
Fax Number
800-394-6163
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
177 N Dean St
Suite 202
Englewood, NJ 07631-2533
City
Englewood
State
NJ
Zip
07631-2533
Phone Number
201-731-3507
Fax Number
201-731-3056

License Information

License Number (1)
24402
License State (1)
NJ
License Number (2)
24402
License State (2)
NJ
Taxonomy (2)
Clinic/Center, Radiology · 261QR0200X · 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 Engelwood Diagnostic & Imaging Center LLC?

The NPI number of Engelwood Diagnostic & Imaging Center LLC is 1164967956. It was assigned on January 3, 2017 and is currently active in the NPPES registry.

What is the specialty of Engelwood Diagnostic & Imaging Center LLC?

Engelwood Diagnostic & Imaging Center LLC is registered under the primary taxonomy Clinic/Center, Radiology (code 261QR0200X), licensed in NJ under license number 24402.

Where does Engelwood Diagnostic & Imaging Center LLC practice?

The practice location is 177 N Dean St, Suite 202, Englewood, NJ 07631-2533. The office can be reached at 201-731-3507 (phone) or 800-394-6163 (fax).

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 1164967956 directly on the NPPES registry website.

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