Organization
HUDSON IMAGING PA
Active
Organization
HUDSON IMAGING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL C GREISS MD (EXECUTIVE DIRECTOR)
(201) 369-1900
Entity
Organization
Contact information
Practice address
75 MONTGOMERY STREET, SUITE 401, JERSEY CITY, NJ 07302
(201) 369-1900
(201) 369-9300
Mailing address
75 MONTGOMERY STREET, SUITE 401, JERSEY CITY, NJ 07302
(201) 369-1900
(201) 369-9300
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
23417
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056977
RAILROAD MEDICARE PIN
—
01
—
101408
AMERIGROUP
—
01
—
1171229
HORIZON NJ HEALTH MERCY
NJ
01
—
1412491
AMERIHEALTH PPO
—
01
—
2099468000
AMERIHEALTH HMO
—
01
—
2964536
AETNA HMO
—
01
—
7249376
AETNA ALL OTHERS
—
01
—
8820902
UNISYS
—
05
—
8820902
—
NJ
01
—
A2839370
OXFORD
—
01
—
HUL00020901
AMERICHOICE
NJ
01
—
W1L831
WELLCHOICE
—
Enumeration date
08/24/2006
Last updated
08/22/2020
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