JACKSON VILLAGE IMAGING, LLC (NPI# 1699163527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699163527 |
| Entity Type | Organization |
| Organization Name | JACKSON VILLAGE IMAGING, LLC |
| Other Organization Name | MERIDIAN IMAGING |
| Practice Address |
27 S Cooks Bridge Rd Jackson NJ 08527-2524 |
| Mailing Address |
840 Crescent Centre Dr Suite 200 Franklin TN 37067-4626 |
| Practice Telephone | 7326716618 |
| Mailing Telephone | 6155506049 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |
| Authorized Official Name | WILLIAM PERRY BAKER (SECRETARY/CFO) |
| Authorized Official Telephone | 6155506049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Meridian Imaging | Doing Business As Name - Organization |
| Street Address |
27 S COOKS BRIDGE RD |
| City | JACKSON |
| State | NJ |
| Zip Code | 08527-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871582304 | Scott J Druckman | Family Medicine | 27 S Cooks Bridge Rd, Suite 2-1, Jackson, NJ 08527-2524 | 2005-10-18 |
| 1326574336 | New Jersey Podiatric Physicians & Surgeons Group, LLC | Podiatrist | 27 S Cooks Bridge Rd, Suite 2-10, Jackson, NJ 08527-2524 | 2017-05-11 |
| 1063955094 | Karen A Yeboah-norment | Nurse Practitioner | 27 S Cooks Bridge Rd, Jackson, NJ 08527 | 2016-11-22 |
| 1306389689 | Lauren Michelle Pellicane | Nurse Practitioner | 27 S Cooks Bridge Rd, Suite 2-1, Jackson, NJ 08527-2524 | 2016-11-18 |
| 1689054298 | Lauren H Parkes | Family Medicine | 27 S Cooks Bridge Rd, Jackson, NJ 08527 | 2015-06-09 |
| 1275930216 | Jackson Surgical Center LLC | Clinic/Center | 27 S Cooks Bridge Rd, Suite L2, Jackson, NJ 08527-2524 | 2014-11-19 |
| 1679976435 | Jersey Shore Monmouth Family Medicine Group PC | Non-Pharmacy Dispensing Site | 27 S Cooks Bridge Rd, Suite 27, Jackson, NJ 08527-2524 | 2014-10-07 |
| 1427476415 | Maren Stockhoff | Audiologist-Hearing Aid Fitter | 27 S Cooks Bridge Rd, Jackson, NJ 08527-2524 | 2014-04-07 |
| 1568894244 | Susan Michelle Beltran | Clinical Nurse Specialist | 27 S Cooks Bridge Rd, Jackson, NJ 08527-2524 | 2013-08-05 |
| 1801199484 | Nissim Menashy | Physician Assistant | 27 S Cooks Bridge Rd, Suite 2-2, Jackson, NJ 08527-2524 | 2010-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923959 | Patricia Ann Benjamino | Technician | 8 Poplar Street, Jackson, NJ 08527 | 2019-10-09 |
| 1811456890 | Step By Step Behavioral Therapy, LLC | Behavioral Analyst | 18 Walter Drive, Jackson, NJ 08527 | 2019-03-18 |
| 1326520255 | Sarah Chalnick | Physical Therapist | 2290 W County Line Road Suite 215, Jackson, NJ 08527 | 2018-09-06 |
| 1679071401 | Louro Chiropractic Center LLC | Chiropractor | 180 North County Line Road, Jackson, NJ 08527 | 2018-01-26 |
| 1487183737 | Arkady Khaykin | Dentist | 24 N Cooks Bridge Rd, Jackson, NJ 08527 | 2017-06-09 |
| 1912362815 | Executive Home Healthcare | Home Health | 17 N Hope Chapel Rd, Jackson, NJ 08527 | 2015-12-18 |
| 1629455274 | Rachel Solny | Speech-Language Pathologist | 70 Villanova Dr, Jackson, NJ 08527 | 2015-05-04 |
| 1235525486 | Encore Dental of Jackson | Dentist | 2275 West County Line Rd., Jackson, NJ 08527 | 2015-04-14 |
| 1093108243 | Joseph Davis | Dentist | 2064 W County Line Rd, Jackson, NJ 08527 | 2015-03-12 |
| 1477955037 | Jackson Village Pharmacy LLC | Pharmacy | 27 South Cooks Bridge Rd, Suite M1, Jackson, NJ 08527 | 2014-09-25 |
| Find all providers in zip 08527 | ||||
| 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 |
|---|---|---|---|---|
| 1063890754 | Phil Otis Nelson Jr. | Radiology | 146 Ridge Dr, Jackson, MS 39216-4109 | 2015-05-13 |
| 1891030946 | Cherry Hill Radiology Pllc | Radiology | 401 Redfield Dr, Jackson, TN 38305-8555 | 2012-11-30 |
| 1245414275 | Breathit County Imaging Center | Radiology | 1389 Ky Hwy 15 North, St. John Newmans Medical Plaza, Jackson, KY 41339 | 2007-12-27 |
| 1407933930 | Karen Collette Jensen | Radiology | 14 Adams Road, Jackson, NH 03846 | 2006-11-01 |
| 1770676801 | Gerald O Daniel | Radiology | 708 W Forest Avenue, Jackson, TN 38301 | 2006-10-02 |
| 1497761837 | Arlin George Hatfield IIi | Radiology | 1405 North State Street, Suite 200, Jackson, MS 39202 | 2006-07-31 |
| 1225083942 | Robert Houston Hardin Jr. | Radiology | 2210 Heritage Hill Dr, Jackson, MS 39211-5821 | 2006-05-23 |
| 1881655967 | Jane Warne Brown | Radiology | 91 Stonehaven Cir, Jackson, TN 38305-1945 | 2006-03-29 |
| 1780645028 | Andrew Laurence Rivard | Radiology | 2500 State Street, University of Mississippi Medical Center, Jackson, MS 39216 | 2006-03-28 |
| 1013985134 | John A. Sullivan | Radiology | 7330 Ryegrass Road, Jackson, WY 83001 | 2006-03-14 |
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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.