Organization
ADVANCED MEDICAL IMAGING OF NORTH JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L. SHAPIRO MD (MEDICAL DIRECTOR)
(201) 262-0001
Entity
Organization
Contact information
Practice address
452 OLD HOOK RD, SUITE 301, EMERSON, NJ 07630-1381
(201) 262-0001
(201) 262-2330
Mailing address
452 OLD HOOK RD, SUITE 301, EMERSON, NJ 07630-1381
(201) 262-0001
(201) 262-2330
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23131
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173755000
AMERIHEALTH
NJ
01
—
2K3550
HEALTHNET
NJ
01
—
A2945029
OXFORD
NJ
01
—
DA3186
RAILROAD MEDICARE
NJ
01
—
S20Y21
BLUE CROSS BLUE SHIELD
NJ
01
—
S75304
AIM
NJ
Enumeration date
08/04/2005
Last updated
08/22/2020
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