PERSONAL CARE MOLCULAR IMAGING, P.C. (NPI# 1013025279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013025279 |
| Entity Type | Organization |
| Organization Name | PERSONAL CARE MOLCULAR IMAGING, P.C. |
| Practice Address |
1514 Hwy 138 Wall NJ 07719 |
| Practice Telephone | 7326812700 |
| Practice Fax Number | 7326812701 |
| Mailing Telephone | 7326812700 |
| Mailing Fax Number | 7326812701 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-02-03 |
| Authorized Official Name | BORYS R KRYNYCKYI (MEDICAL DIRECTOR/CEO) |
| Authorized Official Telephone | 7326812700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
1514 HWY 138 |
| City | WALL |
| State | NJ |
| Zip Code | 07719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623642 | Augusto Caesar Cespedes Jr. | Nurse Practitioner | 2621 Nj-138, Wall, NJ 07719 | 2020-09-10 |
| 1790306041 | Johnathan Mendez | Chiropractor | 1985 Nj-34, Building A, Wall Township, NJ 07719 | 2020-04-28 |
| 1881226181 | Charles Elmendorf | Occupational Therapist | 1825 Nj-35, Wall, NJ 07719 | 2020-02-05 |
| 1750929873 | Scott Steinez Hyppolite | Chiropractor | 1985 Nj-34 Building A, Wall Township, NJ 07719 | 2019-12-19 |
| 1194204677 | Kelly Anne Cusick | Occupational Therapist | 3349 Highway 138 East, Building B, Suite A, Wall Township, NJ 07719 | 2018-08-07 |
| 1154816395 | Belmar First Aid Squad Incorporated | Ambulance | 414 9th Ave, Belmar, NJ 07719 | 2018-06-29 |
| 1396257739 | Christina Marie Cognetti | Occupational Therapist | 3349 Nj-138, Wall, NJ 07719 | 2017-10-25 |
| 1023555687 | Beth Nardone-troast | Specialist | 3100 Route 138 West, Building 3, Suite 1, Wall Township, NJ 07719 | 2017-01-20 |
| 1356702005 | Stephanie Herenchak | Occupational Therapist | 2500 Ridgewood Rd., Wall, NJ 07719 | 2016-03-09 |
| 1598142523 | Samantha L Cotler | Family Medicine | 1937 Route 35, Wall Township, NJ 07719 | 2015-04-28 |
| Find all providers in zip 07719 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982798021 | Open Mri At Wall, L.L.C. | Clinic/Center | 1975 State Route 34, Bldg. D, Wall, NJ 07719-9750 | 2006-10-03 |
| 1326349465 | New Jersey Maxillofacial Digital Imaging Center | Clinic/Center | 1516 Hwy 138, Wall, NJ 07719-3700 | 2010-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912522889 | Lasting Impression Medical Aesthetics, LLC | Clinic/Center | 25-15 Fair Lawn Ave Lowr Levelr, Fair Lawn, NJ 07410-3434 | 2020-06-16 |
| 1679030415 | Imagecare LLC | Clinic/Center | 57 Route 46 Ste 212, Hackettstown, NJ 07840-2695 | 2019-02-28 |
| 1043719628 | Imaginginterventions, LLC | Clinic/Center | 186 Princeton Hightstown Rd Bldg 3b, West Windsor, NJ 08550-1668 | 2018-02-08 |
| 1023530821 | Advanced Imaging Medical LLC | Clinic/Center | 400 Delancey St Ste 108, Newark, NJ 07105-3846 | 2017-07-13 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1750762449 | Atrium Diagnostic Imaging LLC | Clinic/Center | 224 Taylors Mills Rd Ste 108, Manalapan, NJ 07726-3281 | 2015-06-18 |
| 1851734123 | Hds Medical Imaging LLC | Clinic/Center | 845 Newark Ave, Jersey City, NJ 07306-5194 | 2013-04-16 |
| 1720326119 | Advanced Imaging Center LLC | Clinic/Center | 400 Delancey St, Suite 108, Newark, NJ 07105-3846 | 2013-01-21 |
| 1043563679 | Pet/ct Center of New Jersey | Clinic/Center | 235 Franklin Ave, Nutley, NJ 07110-2708 | 2012-10-19 |
| 1679831671 | Eastern Diagnostic Services LLC | Clinic/Center | 1121 Inwood Ter, Fort Lee, NJ 07024-1623 | 2012-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.