CORAL DIAGNOSTICS, LLC (NPI# 1457593196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457593196 |
| Entity Type | Organization |
| Organization Name | CORAL DIAGNOSTICS, LLC |
| Practice Address |
684 Market St Paterson NJ 07513-1231 |
| Mailing Address |
Po Box 3042 Clifton NJ 07012-0342 |
| Practice Telephone | 9172577227 |
| Practice Fax Number | 9738071613 |
| Mailing Telephone | 9737797354 |
| Mailing Fax Number | 9737797385 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | DR. MANJUSHREE MATADIAL (MD) |
| Authorized Official Telephone | 9172577227 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 25MB07597800 | NJ | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 25MB07597800 | NJ | Allopathic & Osteopathic Physicians |
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
25MB07597800 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE LICENSE | 25MB07597800 | 01 |
| NJ | 0044377 | 05 |
| Street Address |
684 MARKET ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07513-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528508512 | Pure Kinetics | Durable Medical Equipment & Medical Supplies | 683 E 34th Street, Paterson, NJ 07513 | 2017-02-24 |
| 1265692610 | Gloria Maria Mejia | Pediatrics | 534 - 21st Avenue, Paterson, NJ 07513 | 2008-06-10 |
| 1669565164 | Paresh Thakorbhai Gandhi | Pharmacist | 608 21 St Ave, Paterson, NJ 07513 | 2006-10-02 |
| 1780645374 | Edgar Rafael Mejia | Pediatrics | 760 Market St., Paterson, NJ 07513 | 2006-03-31 |
| 1184138646 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 667 E 33rd St, Paterson, NJ 07513-1158 | 2017-11-20 |
| 1629284195 | Robert Evans | Chiropractor | 726 Market St, Paterson, NJ 07513-1235 | 2007-05-14 |
| 1265489116 | Edgar R. Mejia Md Pa | Pediatrics | 760 Market St, Paterson, NJ 07513-1241 | 2006-05-27 |
| 1952651648 | Jayna Patel | Registered Nurse | 760 Market St, Paterson, NJ 07513-1241 | 2012-09-11 |
| 1871660944 | Billstra Pharmacy LLC | Pharmacy | 608 21st Ave, Paterson, NJ 07513-1261 | 2006-11-30 |
| 1477176501 | Gabriel Fernandez | Pharmacy Technician | 608 21st Ave, Paterson, NJ 07513-1261 | 2020-05-23 |
| Find all providers in zip 07513 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
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|---|---|---|---|---|
| 1578829685 | Sono Image LLC | Clinic/Center | 583 Broadway, Paterson, NJ 07514-2517 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790332369 | Anthony Palmieri | Clinic/Center | 2 Chaser Ct, Holmdel, NJ 07733-2933 | 2019-08-19 |
| 1053830869 | Bradley and Elliott Imaging, LLC | Clinic/Center | 84 Park Ave Ste G210c, Flemington, NJ 08822-1174 | 2017-09-12 |
| 1366854259 | Ir Imaging Medical Service LLC | Clinic/Center | 218 Avenue B, 3f, Bayonne, NJ 07002-3145 | 2014-05-27 |
| 1013257419 | Nj Medical Solutions | Clinic/Center | 17 S 21st St, Kenilworth, NJ 07033-1625 | 2013-02-21 |
| 1053685511 | Professional Mobile Diagnostic Imaging LLC | Clinic/Center | 1810 Kennedy Boulevard, Jersey City, NJ 07305 | 2012-03-01 |
| 1386916005 | Sunny Imaging LLC | Clinic/Center | 127 Nathan Dr, North Brunswick, NJ 08902-1234 | 2012-01-27 |
| 1194093294 | Us Medical Services LLC | Clinic/Center | 85 Parlin Ln, Watchung, NJ 07069-5419 | 2011-12-05 |
| 1669798260 | Green Life Diagnostics, Inc. | Clinic/Center | 1903 Willow Oak Ln, Cedar Knolls, NJ 07927-1338 | 2010-04-08 |
| 1912238874 | Myron Medical Imaging, LLC | Clinic/Center | 218 N 10th St, Kenilworth, NJ 07033-1152 | 2010-01-15 |
| 1295968154 | Jersey Diagnostic Imaging, LLC | Clinic/Center | 929 N Wood Ave, Linden, NJ 07036-4039 | 2009-08-26 |
| 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.