MILLBURN MEDICAL IMAGING, PA
NPI 1356396873
Radiology - Diagnostic Radiology in Maplewood, NJ

Active since May 23, 2006
2130 MILLBURN AVENUE, MAPLEWOOD, NJ 07040(973) 912-0404(973) 912-0444 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Millburn Medical Imaging, Pa NPPES

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

MILLBURN MEDICAL IMAGING, PA (NPI 1356396873) is a healthcare organization registered as a diagnostic radiology in Maplewood, New Jersey and active in the NPI registry since May 2006. The organization lists Kenneth Neshibal, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1356396873
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMILLBURN MEDICAL IMAGING, PA
Location Address2130 MILLBURN AVENUEMaplewood, NJ 07040
Mailing Address2130 Millburn AvenueMaplewood, NJ 07040 · (973) 912-0404 · Fax (973) 912-0444
Fax(973) 912-0444
Organization SubpartNo
Authorized OfficialKenneth NeshibalAuthorized Official · (973) 912-0404
Enumeration DateMay 23, 2006
Last NPPES UpdateMay 1, 2008
NPI 1356396873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NJ · 22950
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2130 MILLBURN AVENUE, Maplewood, NJ 07040

Other Identifiers 3

Medicare PINCM2688NJ
Medicaid3443809NJ
Medicare PIN622776NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Surgery (Pediatric Surgery)
2130 MILLBURN AVENUE, PEDIATRIC SURGERY GROUP
MAPLEWOOD, NJ 07040
Social Worker
2130 MILLBURN AVENUE, SUITE D1
MAPLEWOOD, NJ 07040
Radiology (Diagnostic Radiology)
2130 MILLBURN AVENUE
MAPLEWOOD, NJ 07040
Counselor
2130 MILLBURN AVENUE, SUITE D-1
MAPLEWOOD, NJ 07040
Surgery (Pediatric Surgery)
2130 MILLBURN AVENUE, SUITE C-1
MAPLEWOOD, NJ 07040
Radiology (Diagnostic Radiology)
2130 MILLBURN AVENUE
MAPLEWOOD, NJ 07040
Radiology (Diagnostic Radiology)
2130 MILLBURN AVENUE
MAPLEWOOD, NJ 07040

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 Millburn Medical Imaging, PA's NPI number?

The NPI number for Millburn Medical Imaging, PA is 1356396873. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Millburn Medical Imaging, PA located?

Millburn Medical Imaging, PA is located at 2130 Millburn Avenue, Maplewood, NJ 07040. The listed phone number is (973) 912-0404.

What is Millburn Medical Imaging, PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Millburn Medical Imaging, PA was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.