GARDEN STATE DIAGNOSTIC IMAGING (NPI# 1861969388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861969388 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE DIAGNOSTIC IMAGING |
| Practice Address |
6 Earlin Avenue 160 Brown Mills NJ 08015 |
| Mailing Address |
6 Earlin Ave Ste 160 Browns Mills NJ 08015-1768 |
| Practice Telephone | 6098365319 |
| Mailing Telephone | 6098365313 |
| Mailing Fax Number | 6098365444 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | DR. FAISAL M SHAH (RADIOLOGIST) |
| Authorized Official Telephone | 2014524485 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
6 EARLIN AVENUE 160 |
| City | BROWN MILLS |
| State | NJ |
| Zip Code | 08015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130555 | Claramente LLC | Counselor | 103 Pennsyvlania Trl, Browns Mills, NJ 08015 | 2020-06-30 |
| 1013497056 | Woodland Volunteer Fire & Ems Inc | Ambulance | 13 Lake Drive, Browns Mills, NJ 08015 | 2018-08-20 |
| 1306221023 | Kaisha Holloway | Clinic/Center | 605 Sandra Drive, Browns Mills, NJ 08015 | 2015-07-23 |
| 1538472873 | Ronald E Ross | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Trenton Rd - Deborah Heart & Lung Center, Mid Atlantic Surgical Associates, Browns Mills, NJ 08015 | 2010-07-15 |
| 1932333648 | Robert N Keddis | Anesthesiology | 200 Trenton Raod, Floor 1, Browns Mills, NJ 08015 | 2009-05-08 |
| 1467616995 | Vijay Kamath | Surgery | 200 Trenton Rd Ste 2130, Browns Mills, NJ 08015 | 2008-07-14 |
| 1942407747 | Christine Anne Brown | Nurse Practitioner | 130 Lakehurst Rd Frnt, Browns Mills, NJ 08015 | 2007-06-27 |
| 1861695744 | Shapiro Berlin Med Asso | Family Medicine | 34 Lakehurst Rd. Juluistown Rd, Browns Mills, NJ 08015 | 2007-06-07 |
| 1568540904 | Lorraine Varela | Podiatrist | 77 Pemberton Browns Mills Rd, Browns Mills, NJ 08015 | 2006-11-02 |
| 1497774681 | Asad Syed Sadiq | Dentist | 77 Juliustown Road, Browns Mills, NJ 08015 | 2006-07-19 |
| Find all providers in zip 08015 | ||||
| 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 |
|---|---|---|---|---|
| 1902427297 | Universal Diagnostics Solutions | Radiology | 992 Clifton Ave Fl 1, Clifton, NJ 07013-3502 | 2020-04-28 |
| 1841826567 | Mercer Diagnostic Imaging, LLC | Radiology | 1245 Whitehorse Mercerville Rd Ste 403, Hamilton, NJ 08619-3831 | 2020-03-13 |
| 1225678352 | Jefferson University Radiology Associates, LLC | Radiology | 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 | 2020-01-07 |
| 1982240248 | Edison Medical Imaging | Radiology | 1907 Oak Tree Rd Ste 101, Edison, NJ 08820-2070 | 2019-11-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1891269254 | Middletown Radiology LLC | Radiology | 1270 Rte 35 Ste 3, Middletown, NJ 07748-2014 | 2019-01-17 |
| 1033689401 | Bay Imaging Consultants Medical Group Inc | Radiology | 54 Ettl Cir, Princeton, NJ 08540-2326 | 2018-11-28 |
| 1598240285 | Advanced Women Imaging Professional Association | Radiology | 560a 60th St, West New York, NJ 07093-1487 | 2018-09-27 |
| 1376034520 | Sonoview Imaging LLC | Radiology | 5600 Kennedy Blvd W Ste 108, West New York, NJ 07093-1256 | 2018-05-23 |
| 1215443866 | Atlantic Diagnostic Services, Ipa, LLC | Radiology | 110 South Jefferson Road, Suite 201, Whippany, NJ 07981 | 2017-12-19 |
| Find all providers with the same taxonomy | ||||
| City | BROWN MILLS |
| Zip Code | 08015 |
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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.