CLIFFSIDE PARK IMAGING AND DIAGNOSTIC CENTER, LLC
NPI 1104843689
Radiology - Diagnostic Radiology in Cliffside Park, NJ
About Cliffside Park Imaging And Diagnostic Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLIFFSIDE PARK IMAGING AND DIAGNOSTIC CENTER, LLC (NPI 1104843689) is a healthcare organization registered as a diagnostic radiology in Cliffside Park, New Jersey and active in the NPI registry since July 2006. The organization lists Michael Davit, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cliffside Park Imaging And Diagnostic Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Cliffside Park Imaging And Diagnostic Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Cliffside Park Imaging And Diagnostic Center, LLC's NPI number?
The NPI number for Cliffside Park Imaging And Diagnostic Center, LLC is 1104843689. It was assigned to this organization in the NPPES registry on July 17, 2006.
Where is Cliffside Park Imaging And Diagnostic Center, LLC located?
Cliffside Park Imaging And Diagnostic Center, LLC is located at 596 Anderson Avenue Suite 120, Cliffside Park, NJ 07010. The listed phone number is (201) 945-6747.
What is Cliffside Park Imaging And Diagnostic Center, LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Cliffside Park Imaging And Diagnostic Center, LLC enrolled in Medicare?
Yes. Cliffside Park Imaging And Diagnostic Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cliffside Park Imaging And Diagnostic Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Cliffside Park Imaging And Diagnostic Center, 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 Cliffside Park Imaging And Diagnostic Center, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Cliffside Park Imaging And Diagnostic Center, Llc · NPI 1104843689
Diagnostic Radiology organization in Cliffside Park, New Jersey. Organization record, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1104843689 (Entity type: Organization)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Michael Davit, MANAGER
## Practice location
- **Address:** 596 ANDERSON AVENUE, SUITE 120, Cliffside Park, NJ 07010
- **Phone:** (201) 945-6747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104843689) · Data from the CMS NPPES public registry.