EASTERN DIAGNOSTIC SERVICES LLC (NPI# 1679831671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679831671 |
Entity Type | Organization |
Organization Name | EASTERN DIAGNOSTIC SERVICES LLC |
Practice Address |
1121 Inwood Ter Fort Lee NJ 07024-1623 |
Practice Telephone | 7187101862 |
Enumeration Date | 2012-04-26 |
Last Update Date | 2012-04-26 |
Authorized Official Name | CHRISTOPHER SHEN (OWNER) |
Authorized Official Telephone | 7187101862 |
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 |
1121 INWOOD TER |
City | FORT LEE |
State | NJ |
Zip Code | 07024-1623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043828726 | You S Jung | Pharmacist | 1275 15th Street Apt 2e, Fort Lee, NJ 07024 | 2020-07-17 |
1205316528 | Professional Orthopedic and Sports Therapy of Nj, LLC | Physical Therapist | 2200 Fletcher Ave Ste 505, Fort Lee, NJ 07024 | 2018-08-16 |
1194210138 | Hyunjoo Lee | Pharmacy | 168 Fletcher Ave, Fort Lee, NJ 07024 | 2018-06-22 |
1912423724 | Fort Lee Health Supplies | Durable Medical Equipment & Medical Supplies | 96 Linwood Plaza Rte 9 W, Fort Lee, NJ 07024 | 2017-08-15 |
1669997482 | Jinseok Woo | Acupuncturist | 6 Horizon Rd., Apt 2504, Fort Lee, NJ 07024 | 2017-08-14 |
1578083705 | Sheran Rey | Licensed Vocational Nurse | 6308 Hilltop Ct, Fort Lee, NJ 07024 | 2017-06-20 |
1558812909 | Jian Cui | Acupuncturist | 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 | 2016-10-20 |
1013392919 | Yulong Yang | Internal Medicine | 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 | 2015-07-22 |
1235561796 | Anthony Lucev | Student in an Organized Health Care Education/Training Program | 233 Harmon Ave, Fort Lee, NJ 07024 | 2013-08-06 |
1811331598 | Bridgeview Rehabilitation and Medical Arts Center | Physical Medicine & Rehabilitation | 454 Main Street 3rd Floor, Fort Lee, NJ 07024 | 2013-04-24 |
Find all providers in zip 07024 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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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 |
1669740890 | American Imaging of Edison LLC | Clinic/Center | 1921 Oaktree Road, Ste 100, Edison, NJ 08820-2073 | 2011-12-02 |
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.