BRICK XRAY LLC (NPI# 1770735177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770735177 |
Entity Type | Organization |
Organization Name | BRICK XRAY LLC |
Practice Address |
1608 Route 88 W Suite 102 Brick NJ 08724-3009 |
Practice Telephone | 7323498454 |
Practice Fax Number | 7323490266 |
Mailing Telephone | 7323498454 |
Mailing Fax Number | 7323490266 |
Enumeration Date | 2008-10-16 |
Last Update Date | 2008-10-16 |
Authorized Official Name | DUC THI TRAN (OWNER) |
Authorized Official Telephone | 7323498454 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
MA59193 | NJ | Ambulatory Health Care Facilities |
Street Address |
1608 ROUTE 88 W SUITE 102 |
City | BRICK |
State | NJ |
Zip Code | 08724-3009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437154069 | Sunita Singh Mann | Specialist | 1608 Route 88 W, Ste 102, Brick, NJ 08724-3009 | 2005-06-20 |
1649610486 | Jeffrey Urban Dmd, LLC | Dentist | 1608 Route 88 W, Brick, NJ 08724-3009 | 2013-06-25 |
1366739898 | Jeffrey Urban | Dentist | 1608 Route 88 W, Suite 111, Brick, NJ 08724-3009 | 2011-07-05 |
1962723544 | Garden State Pain and Radiology Center 2, PC | Specialist | 1608 Route 88 W, Suite 102, Brick, NJ 08724-3009 | 2010-06-17 |
1821281627 | Kelley Lynne Mcdonald | Occupational Therapist | 1608 Route 88 W, Suite 112, Brick, NJ 08724-3009 | 2007-08-24 |
1417060930 | Melissa M Peabody | Physical Therapist | 1608 Route 88 W, Suite 112, Brick, NJ 08724-3009 | 2006-08-17 |
1639188766 | Apurv Agrawal | Internal Medicine | 1608 Route 88 W, Suite 250, Brick, NJ 08724-3009 | 2006-08-07 |
1245289842 | Np Care of Nj, LLC | Nurse Practitioner | 1608 Route 88 W, Suite 120, Brick, NJ 08724-3009 | 2006-05-09 |
1770559254 | Brick Pet Partners, LLC | Clinic/Center | 1608 Route 88 W, Suite 302, Brick, NJ 08724-3009 | 2006-02-24 |
1821088915 | New Jersey Hematology Oncology Associates, LLC | Specialist | 1608 Route 88 W, Ste 250, Brick, NJ 08724-3009 | 2005-10-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
Find all providers in zip 08724 |
Taxonomy Code | 261QR0206X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology, Mammography |
Definition to come... |
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1437221538 | Diagnostic Imaging of Clifton, P.a. | Clinic/Center | 1115 Clifton Ave, Clifton, NJ 07013-3641 | 2006-11-14 |
1427092675 | Perth Amboy Health Care L.L.C. | Clinic/Center | 607 Amboy Avenue, Perth Amboy, NJ 08861-2595 | 2006-06-16 |
1336136662 | Radiology Associates of Ridgewood, Pa | Clinic/Center | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2005-10-03 |
1003271123 | Hunterdon Radiological Associates, P.a. | Clinic/Center | 121 Route 31, Flemington, NJ 08822-5744 | 2015-12-16 |
1124303987 | The Breast Center At Journal Square, LLC | Clinic/Center | 550 Newark Ave, Second Floor, Jersey City, NJ 07306-1326 | 2011-10-12 |
1104069350 | South Jersey Hospital Inc | Clinic/Center | 8 N White Horse Pike, Hammonton, NJ 08037-1873 | 2009-04-16 |
1235375643 | In Her Image- West Caldwell, LLC | Clinic/Center | 555 Passaic Ave, West Caldwell, NJ 07006-7475 | 2009-01-07 |
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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.