# JERSEY CITY IMAGING CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508602152
- **Authorized official:** BHAVIKA VEDAWALA (OWNER)
- **Authorized official phone:** (908) 257-0444

## Contact information

- **Practice address:** 2300 JFK BLVD, JERSEY CITY, NJ 07304-1510
- **Practice address phone:** (732) 376-6616
- **Mailing address:** 2300 JFK BLVD, JERSEY CITY, NJ 07304-1510
- **Mailing address phone:** (551) 353-9911
- **Mailing address fax:** (551) 256-9986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/03/2024
- **Last updated:** 01/12/2026