UNIVERSITY RADIOLOGY TEANECK, LLC (NPI# 1104243377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104243377 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY RADIOLOGY TEANECK, LLC |
| Practice Address |
699 Teaneck Rd Teaneck NJ 07666-4244 |
| Mailing Address |
579a Cranbury Rd East Brunswick NJ 08816-5426 |
| Practice Telephone | 2018362500 |
| Practice Fax Number | 7323901856 |
| Mailing Telephone | 7323900040 |
| Mailing Fax Number | 7323901856 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | S. THOMAS DUNLAP (CEO) |
| Authorized Official Telephone | 7323900040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
NJ | Allopathic & Osteopathic Physicians | |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
NJ | Allopathic & Osteopathic Physicians | |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
NJ | Allopathic & Osteopathic Physicians | |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NJ | Allopathic & Osteopathic Physicians |
| Street Address |
699 TEANECK RD |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861453300 | Elizabeth Reiley | Urology | 699 Teaneck Rd, Teaneck, NJ 07666-4244 | 2006-03-31 |
| 1396033924 | Terry W. Hensle, M.d., LLC | Urology | 699 Teaneck Rd, Teaneck, NJ 07666-4244 | 2011-07-18 |
| 1366635427 | Robert A Adair M D P A | Internal Medicine | 699 Teaneck Rd, Suite 101, Teaneck, NJ 07666-4244 | 2007-08-22 |
| 1518183938 | Darius Paris Melisaratos | Specialist | 699 Teaneck Rd, Teaneck, NJ 07666-4244 | 2007-04-17 |
| 1588710024 | Michael G Kailas | Psychiatry & Neurology | 699 Teaneck Rd, Suite 106, Teaneck, NJ 07666-4244 | 2007-01-26 |
| 1932253309 | Terry W Hensle | Specialist | 699 Teaneck Rd, Suite 103, Teaneck, NJ 07666-4244 | 2007-01-23 |
| 1124041827 | Steven Y Tennenbaum | Surgery | 699 Teaneck Rd, Room 103, Teaneck, NJ 07666-4244 | 2006-07-25 |
| 1790725661 | Asher C. Goldstein | Physical Medicine & Rehabilitation | 699 Teaneck Rd, Suite 101, Teaneck, NJ 07666 | 2006-06-07 |
| 1023063344 | Elizabeth Reiley Md Pa | Urology | 699 Teaneck Rd, Teaneck, NJ 07666-4244 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316066228 | Daniel Brian Lerer | Radiology | 788 Winthrop Rd, Teaneck, NJ 07666-2264 | 2007-03-29 |
| 1215097886 | Adrienne Masin Greenblatt | Radiology | 699 Teaneck Road, Teaneck, NJ 07666-4244 | 2006-12-12 |
| 1376570861 | Howard Berman | Radiology | Holy Name Hospital Department of Radiology, 718 Teaneck Rd, Teaneck, NJ 07666 | 2006-06-28 |
| 1699769414 | Steven Jay Blumenfrucht | Radiology | 411 Ogden Ave, Teaneck, NJ 07666-2819 | 2005-09-08 |
| 1962819904 | Daniel Lerer Md PC | Radiology | 788 Winthrop Rd, Teaneck, NJ 07666-2264 | 2014-07-22 |
| 1710202536 | John Morgan | Radiology | 718 Teaneck Rd, Peace Health Partners, PC, Teaneck, NJ 07666-4245 | 2010-04-05 |
| 1619107703 | Kevin Herman | Radiology | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2009-07-23 |
| 1962655654 | David Singh | Radiology | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2008-10-28 |
| 1447447750 | Rina Felman | Radiology | 718 Teaneck Rd, Radiology Department, Teaneck, NJ 07666-4245 | 2007-10-01 |
| 1952520744 | Breast Imaging Partners, PC | Radiology | 718 Teaneck Road, Teaneck, NJ 07666-4245 | 2007-04-24 |
| Find all providers in TEANECK | ||||
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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.