MRI OF WOODBRIDGE LLC NPI 1003872953

Clinic/Center (Radiology) in Avenel, NJ

About MRI OF WOODBRIDGE LLC

Mri Of Woodbridge Llc is a provider in Avenel, NJ. The NPI number assigned to this provider is 1003872953. The practitioner's primary taxonomy code is Clinic/Center (261QR0200X). The provider is registered as an organization and their NPI record was last updated 4 years ago.

NPI1003872953 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMRI OF WOODBRIDGE LLC
Provider Location Address1500 SAINT GEORGES AVE AVENEL, NJ 07001 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 828393 PHILADELPHIA, PA 19182 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-20-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date05-12-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MRI OF WOODBRIDGE LLC
1500 SAINT GEORGES AVE
AVENEL, NJ
ZIP 07001
Phone: (732) 574-0742
Fax: (732) 574-0143
Get Directions

Mailing Address

MRI OF WOODBRIDGE LLC
PO BOX 828393
PHILADELPHIA, PA
ZIP 19182
Phone: (732) 381-8686
Fax: (732) 499-7724

Primary Taxonomy

Taxonomy Code261QR0200X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRadiology
License No.22624
License StateNJ

Authorized Official

Authorized Official NameDR. LEO FONTANA M.D. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleMEDICAL DIRECTOR
Authorized Official Phone(732) 574-0742

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)22624NJNo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
188501OTHER (01)NJ
A2539097OTHER (01)NJ
0268620000OTHER (01)NJ
134438XXOTHER (01)NJ
1K2970OTHER (01)NJ
4199032OTHER (01)NJ
034290MEDICARE ID-TYPE UNSPECIFIED (04)NJ
1166754OTHER (01)NJ
343114OTHER (01)NJ
2308288OTHER (01)NJ
347671200OTHER (01)NJ
CH3126OTHER (01)NJ
034290MEDICARE PIN (08)NJ

Map Location


MRI OF WOODBRIDGE LLC address is 1500 SAINT GEORGES AVE AVENEL, NJ 07001

Other Providers at the same location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184621625 EDWARD S RITTWEGER M.D.
Individual
Radiology (Diagnostic Radiology)1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 381-8686
1194722637 LEO J FONTANA M.D.
Individual
Radiology (Diagnostic Radiology)1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 381-8686
1205818689DR. MARK SKRZYPCZAK M.D.
Individual
Internal Medicine1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 669-9191
1225035785 DAVID G WIRTSHAFTER M.D.
Individual
Radiology (Diagnostic Radiology)1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 381-8686
1235136789 MARK SINGER M.D.
Individual
Radiology (Diagnostic Radiology)1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 381-8686
1336146877 CHARLES A SANIEWSKI M.D.
Individual
Radiology (Diagnostic Radiology)1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 381-8686
1457418642DR. JOHN D WILGUCKI D.O.
Individual
Ophthalmology1500 SAINT GEORGES AVE UNIT D
AVENEL, NJ 07001
(732) 388-3030
1609869098DR. PETER S DOSS MD
Individual
Radiology (Diagnostic Radiology)1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 574-8999
1700954997RADIOLOGY ASSOCIATES, P.A.
Organization
Clinic/Center (Radiology)1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 574-0742
1730151630PHYSICAL THERAPY CENTER OF WOODBRIDGE, PC
Organization
Physical Therapist1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 750-9286
1861697807OBSTETRICAL & GYNECOLOGICAL GROUP OF CENTRAL JERSEY, P.C.
Organization
Specialist1500 SAINT GEORGES AVE SUITE F
AVENEL, NJ 07001
(732) 669-9600
1912175365JOHN D WILGUCKI DO LLC
Organization
Durable Medical Equipment & Medical Supplies1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 388-3030
1922011618 ROBERT BASHKIM LIMANI M.D.
Individual
Radiology (Diagnostic Radiology)1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 381-8686
1982603288 DAVID CHUN M.D.
Individual
Radiology (Diagnostic Radiology)1500 SAINT GEORGES AVE
AVENEL, NJ 07001
(732) 381-8686