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ADVANCED IMAGING MEDICAL LLC
NPI 1023530821
Clinic/Center - Radiology in Newark, NJ

Active since July 13, 2017
400 DELANCEY ST STE 108, NEWARK, NJ 07105(973) 589-7777 Get Directions Write a Review

NPPES record last updated: July 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Radiology

About ADVANCED IMAGING MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Advanced Imaging Medical Llc, a provider established in Newark, New Jersey operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1023530821 assigned on July 2017. The practitioner's primary taxonomy code is 261QR0200X with license number 24270 (NJ). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Michael Mermelstein (Member)

NPI
1023530821 Verify this NPI
Provider Name
ADVANCED IMAGING MEDICAL LLC
Entity Type
Organization
Location Address
400 DELANCEY ST STE 108 NEWARK, NJ 07105
Location Phone
(973) 589-7777
Mailing Address
PO BOX 792 LAKEWOOD, NJ 08701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2017
Last Update Date
07-13-2017
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities
License No.
24270
License State
NJ

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL MERMELSTEIN

Authorized Official Title
MEMBER
Authorized Official Phone
(732) 575-6882

Reviews for ADVANCED IMAGING MEDICAL LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

NEWARK IMAGING CORP.
Clinic/Center (Radiology)
400 DELANCEY ST STE 108
NEWARK, NJ 07105
Essex County (973) 589-7777

Frequently Asked Questions

What is ADVANCED IMAGING MEDICAL LLC's NPI number?

The NPI number assigned to this healthcare provider is 1023530821, enumerated as an "organization" on July 13, 2017.

Where is the provider located?

The provider is located at 400 DELANCEY ST STE 108 NEWARK, NJ 07105 and the phone number is (973) 589-7777.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.