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FAIRVIEW IMAGING CENTER INC
NPI 1053780916
Clinic/Center - Radiology in Fairview, NJ

Active since September 22, 2015
178 BERGEN BLVD, FAIRVIEW, NJ 07022(201) 313-3200(201) 313-9700 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fairview Imaging Center Inc NPPES

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

FAIRVIEW IMAGING CENTER INC (NPI 1053780916) is a healthcare organization registered as a radiology in Fairview, New Jersey and active in the NPI registry since September 2015. The organization lists Lama Saloukha, Manager, as its authorized official.

NPPES Registry Identity

NPI1053780916
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameFAIRVIEW IMAGING CENTER INC
Location Address178 BERGEN BLVDFairview, NJ 07022-1620
Mailing Address178 Bergen BlvdFairview, NJ 07022-1620 · (201) 313-3200 · Fax (201) 313-9700
Phone(201) 313-3200
Fax(201) 313-9700
Organization SubpartNo
Authorized OfficialLama SaloukhaManager · (201) 313-3200
Enumeration DateSeptember 22, 2015
✔ NPI 1053780916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
178 BERGEN BLVD, Fairview, NJ 07022
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairview Imaging Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Fairview Imaging Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Feng Tao, MD
Diagnostic Radiology
NPI 1285621748
308 WILLOW AVE RADIOLOGY DEPARTMENT
Hoboken, NJ 07030
(201) 418-1820
✔ PECOS✔ Accepts Medicare5.5 mi
Ketang Modi, D.O.
Diagnostic Radiology
NPI 1396736468
9620 STIRLING RD UNIT 111
Hollywood, FL 33024
(754) 201-1027
✔ PECOS✔ Accepts Medicare1,080 mi
Natalio Damien, MD
Diagnostic Radiology
NPI 1629097985
1400 E BOULDER ST
Colorado Springs, CO 80909
(719) 365-5853
✔ PECOS✔ Accepts Medicare1,635 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 Fairview Imaging Center Inc's NPI number?

The NPI number for Fairview Imaging Center Inc is 1053780916. It was assigned to this organization in the NPPES registry on September 22, 2015.

Where is Fairview Imaging Center Inc located?

Fairview Imaging Center Inc is located at 178 Bergen Blvd, Fairview, NJ 07022. The listed phone number is (201) 313-3200.

What is Fairview Imaging Center Inc's specialty?

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

Is Fairview Imaging Center Inc enrolled in Medicare?

Yes. Fairview Imaging Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairview Imaging Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Fairview Imaging Center Inc. 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 Fairview Imaging Center Inc was last updated on September 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.