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HOLMDEL IMAGING LLC
NPI 1629027339
Radiology - Diagnostic Radiology in Holmdel, NJ

Active since May 09, 2006CLIA 31D2008972 · Waiver
100 COMMONS WAY, HOLMDEL, NJ 07733(732) 671-6618(732) 671-7353 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2025, Jun 22, 2021, Mar 16, 2021 (3 updates tracked since 2021).

About Holmdel Imaging Llc NPPES

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

HOLMDEL IMAGING LLC (NPI 1629027339) is a healthcare organization registered as a diagnostic radiology in Holmdel, New Jersey and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Amy Stout, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1629027339
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameHOLMDEL IMAGING LLC
Location Address100 COMMONS WAYHolmdel, NJ 07733-2934
Mailing Address800 Crescent Centre Dr Ste 400Franklin, TN 37067-7270 · (615) 261-2306 · Fax (855) 588-3545
Phone(732) 671-6618
Fax(732) 671-7353
Organization SubpartNo
Authorized OfficialAmy StoutPresident/ceo · (615) 261-2306
Enumeration DateMay 9, 2006
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1629027339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
100 COMMONS WAY, Holmdel, NJ 07733
Open in Google Maps ↗

Other Identifiers 1

Medicaid0016021NJ

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Holmdel Imaging LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Robert Wold, M.D.
Diagnostic Radiology
NPI 1306831482
6 RIVERVIEW PLZ
Red Bank, NJ 07701
(732) 747-1429
✔ PECOS✔ Accepts Medicare6.0 mi
Frederick Zito, MD
Diagnostic Radiology
NPI 1043205081
6 RIVERVIEW PLZ
Red Bank, NJ 07701
(732) 747-1429
✔ PECOS✔ Accepts Medicare6.0 mi
Nicholas Perosi, M.D.
Diagnostic Radiology
NPI 1407091374
200 WHITE RD STE 115
Little Silver, NJ 07739
(732) 741-9595
✔ PECOS✔ Accepts Medicare7.2 mi
Raven Devincenzo, M.D.
Diagnostic Radiology
NPI 1104844117
475 SEAVIEW AVE
Staten Island, NY 10305
(718) 226-9175
✔ PECOS✔ Accepts Medicare12 mi
Benjamin Wang, M.D.
Diagnostic Radiology
NPI 1932441029
560 1ST AVE
New York, NY 10016
(212) 263-5230
✔ PECOS✔ Accepts Medicare25 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2008972

Holmdel Imaging, LLC · Holmdel, NJ
Active · expires Jun 24, 2028
CLIA Number31D2008972
Laboratory TypeOutpt Imaging Facility
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorFredrick Zito
Laboratory Phone(732) 671-6618
Laboratory LocationHolmdel Imaging, LLC100 Commons Way Suite 110, Holmdel, NJ 07733
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Holmdel Imaging LLC's NPI number?

The NPI number for Holmdel Imaging LLC is 1629027339. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Holmdel Imaging LLC located?

Holmdel Imaging LLC is located at 100 Commons Way, Holmdel, NJ 07733. The listed phone number is (732) 671-6618.

What is Holmdel Imaging LLC's specialty?

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

Is Holmdel Imaging LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Holmdel Imaging LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Holmdel 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Holmdel Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2008972) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Holmdel Imaging LLC accept?

Health plans from Oscar Health list Holmdel Imaging LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holmdel Imaging LLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.