AQ RENAISSANCE IMAGING LLC
NPI 1053088195
Clinic/Center - Radiology in Perth Amboy, NJ

Active since August 26, 2021
275 HOBART ST, PERTH AMBOY, NJ 08861(732) 376-6616(973) 900-8816 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2021, Aug 26, 2021 (2 updates tracked since 2021).

About Aq Renaissance Imaging Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AQ RENAISSANCE IMAGING LLC (NPI 1053088195) is a healthcare organization registered as a radiology in Perth Amboy, New Jersey and active in the NPI registry since August 2021. The organization lists Bhavika Vedawala, Owner, as its authorized official.

NPPES Registry Identity

NPI1053088195
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameAQ RENAISSANCE IMAGING LLC
Location Address275 HOBART STPerth Amboy, NJ 08861-3396
Mailing Address275 Hobart StPerth Amboy, NJ 08861-3396 · (732) 376-6616 · Fax (973) 900-8816
Fax(973) 900-8816
Organization SubpartNo
Authorized OfficialBhavika VedawalaOwner · (732) 376-6616
Enumeration DateAugust 26, 2021
Last NPPES UpdateFebruary 14, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
✔ NPI 1053088195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
275 HOBART ST, Perth Amboy, NJ 08861

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aq Renaissance Imaging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Aq Renaissance Imaging LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Diagnostic Radiology
NPI 1629099783
1921 OAK TREE RD
Edison, NJ 08820
(732) 662-1831
✔ PECOS✔ Accepts Medicare6.7 mi
Diagnostic Radiology
NPI 1720280530
2720 SUNSET BLVD
West Columbia, SC 29169
(803) 791-2460
✔ PECOS✔ Accepts Medicare586 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aq Renaissance Imaging LLC's NPI number?

The NPI number for Aq Renaissance Imaging LLC is 1053088195. It was assigned to this organization in the NPPES registry on August 26, 2021.

Where is Aq Renaissance Imaging LLC located?

Aq Renaissance Imaging LLC is located at 275 Hobart St, Perth Amboy, NJ 08861. The listed phone number is (732) 376-6616.

What is Aq Renaissance Imaging LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Aq Renaissance Imaging LLC enrolled in Medicare?

Yes. Aq Renaissance Imaging LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aq Renaissance Imaging LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Aq Renaissance Imaging LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Aq Renaissance Imaging LLC was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.