JERSEY CITY DIAGNOSTIC CENTER INC (NPI# 1174821953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174821953 |
| Entity Type | Organization |
| Organization Name | JERSEY CITY DIAGNOSTIC CENTER INC |
| Practice Address |
2300 Kennedy Blvd Jersey City NJ 07304-1510 |
| Practice Telephone | 2014322100 |
| Practice Fax Number | 2014321900 |
| Mailing Telephone | 2014322100 |
| Mailing Fax Number | 2014321900 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | MR. SAMY HANNA YOUSSEF (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7325338264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2300 KENNEDY BLVD |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07304-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972803245 | Samy F Hanna Youssef | Radiology | 2300 Kennedy Blvd, Jersey City, NJ 07304-1510 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324085 | Marlon Q Lopez | Physical Therapist | 438 West Avenue, Virginia Cor Ege, Jersey, NJ 07304 | 2020-01-03 |
| 1033621842 | Dipty Mali | Physical Therapist | 520 Bergen Avenue, Jersey City, NJ 07304 | 2017-11-02 |
| 1861914434 | Eulalia Rivera | Licensed Practical Nurse | 140 Boyd Ave, Jersey City, NJ 07304 | 2017-07-14 |
| 1336509223 | Hyojin Park | Student in an Organized Health Care Education/Training Program | 935 Garfield Avenue, Metropolitan Family Health Network, Inc. - Jersey City, Jersey City, NJ 07304 | 2016-03-04 |
| 1962878413 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13-15 Miller Street, Jersey City, NJ 07304 | 2015-08-19 |
| 1336515881 | Hudson Milestones | Day Training, Developmentally Disabled Services | 355 Clendenny Avenue, Jersey City, NJ 07304 | 2015-08-19 |
| 1922482025 | Cosmo Pharmacy LLC | Pharmacy | 402 Pacific Avenue, Jersey City, NJ 07304 | 2015-07-17 |
| 1033513171 | Walgreens | Health Maintenance Organization | 2395 John Kennedy Blvd, Jersey City, NJ 07304 | 2014-10-17 |
| 1427460138 | Medical Claims Adjustment Pros | Spec/Tech, Health Info | 79 Jewett Avenue Ste 2, Jersey City, NJ 07304 | 2014-05-29 |
| 1801133103 | Hoboken Holistic Physical Therapy and Sports Medicine LLC | Acupuncturist | 701 State Route 440 Suite 21, Jersey City, NJ 07304 | 2013-01-08 |
| Find all providers in zip 07304 | ||||
| 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 |
|---|---|---|---|---|
| 1972803245 | Samy F Hanna Youssef | Radiology | 2300 Kennedy Blvd, Jersey City, NJ 07304-1510 | 2010-11-02 |
| 1477865558 | Westside Radiology Associates, PC | Radiology | 10 Exchange Place, Jersey City, NJ 07302-3918 | 2010-07-06 |
| 1083691752 | Harbor Medical Imaging, LLC | Radiology | 127 Montgomery St, Jersey City, NJ 07302-3616 | 2005-12-23 |
| 1093141624 | Suruchi Santosh Dewoolkar | Radiology | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2013-09-14 |
| 1265798375 | West Side Radiology Associates, PC | Radiology | 10 Exchange Pl, 14th Floor, Jersey City, NJ 07302-3918 | 2012-04-03 |
| 1063653780 | Jersey Liberty Radiology, P.C. | Radiology | 355 Grand St, Jersey City, NJ 07302-4321 | 2009-03-09 |
| 1053576132 | Jennifer Michelle Hendi | Radiology | 10 Exchange Pl Fl 15, Jersey City, NJ 07302-4934 | 2008-07-28 |
| 1649446410 | Jersey Liberty Radiology, LLC | Radiology | 355 Grand St, Jersey City, NJ 07302-4321 | 2008-05-01 |
| 1104028299 | Passaic County Integrated Healthcare | Radiology | 550 Newark Ave, Suite 201, Jersey City, NJ 07306-1326 | 2007-06-01 |
| 1881756146 | Cheryl Jean Byk | Radiology | 550 Summit Ave, Jersey City, NJ 07306-2707 | 2006-12-14 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07304 |
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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.