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PRIME RADIOLOGY, LLC
NPI 1164437547
Radiology - Radiological Physics in Newark, NJ

Active since July 31, 2006
111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5287 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Jul 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Prime Radiology, Llc NPPES

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

PRIME RADIOLOGY, LLC (NPI 1164437547) is a healthcare organization registered as a radiological physics in Newark, New Jersey and active in the NPI registry since July 2006. The organization lists Suresh P Mody, President, as its authorized official.

NPPES Registry Identity

NPI1164437547
Entity TypeOrganization
Primary Taxonomy2085R0205X
Legal Business NamePRIME RADIOLOGY, LLC
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address66 W Gilbert St, 2nd FloorTinton Falls, NJ 07701-4947 · (732) 212-0051 · Fax (732) 212-0052
Phone(973) 877-5287
Organization SubpartNo
Authorized OfficialSuresh P ModyPresident · (973) 877-5287
Enumeration DateJuly 31, 2006
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
✔ NPI 1164437547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Radiological PhysicsAllopathic & Osteopathic Physicians
Taxonomy Code2085R0205X
Definition
A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
111 CENTRAL AVE, Newark, NJ 07102
Open in Google Maps ↗

Other Identifiers 8

Medicaid8112304NJ
Other1171435NJ · Horizon Nj Health
Other0095270001NJ · Amerihealth
Other1943299NJ · United Health Care
OtherJ11285NJ · Health Net
OtherCG5834NJ · Railroad Medicare
OtherA2021347NJ · Oxford
OtherWT154NJ · Wellchoice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL V SCOTT CRNA
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5043
DR. HOI-WING SUSANNA YIM M.D.
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. MONIQUE ALMOND ANTONIA PRINCE MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (929) 513-0312
KING EMERGENCY ASSOCIATES, P.A.
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. NITA MODI MD
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
GATEWAY EMERGENCY SERVICES PC
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Essex County (469) 401-2386
DR. CHRYSTINA MILDRED KIWAN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KHALED MOHAMMAD KHALED BANI YASEEN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (551) 250-3743

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 Prime Radiology, LLC's NPI number?

The NPI number for Prime Radiology, LLC is 1164437547. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Prime Radiology, LLC located?

Prime Radiology, LLC is located at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5287.

What is Prime Radiology, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiological Physics, with taxonomy code 2085R0205X.

When was this NPI record last updated?

The NPPES record for Prime Radiology, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.