Organization
ADVANCED MEDICAL IMAGING OF NORTH JERSEY, LLC
Active
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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