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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: August 09, 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

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.

Other Providers at the Same Location NPPES 11

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

DR. PARINI MUNJAL PATEL M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 COMMONS WAY
HOLMDEL, NJ 07733
Monmouth County (732) 450-2925
HOLMDEL MEDICAL GROUP, INC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
100 COMMONS WAY, SUITE 701
HOLMDEL, NJ 07733
Monmouth County (732) 796-0182
DR. JENNIFER ZAITZ DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 COMMONS WAY, SUITE 150
HOLMDEL, NJ 07733
Monmouth County (732) 450-2925
DR. MOHAMED A ELBASTY DDS, MS, PHDC
Dentist
100 COMMONS WAY, STE 130
HOLMDEL, NJ 07733
Monmouth County (732) 615-0700
DR. CHONG S KIM M.D.
Otolaryngology (Facial Plastic Surgery)
100 COMMONS WAY, SUITE 701
HOLMDEL, NJ 07733
Monmouth County (732) 796-0182
SAGAR Y. PATEL M.D. LLC
Obstetrics & Gynecology
100 COMMONS WAY, SUITE 260
HOLMDEL, NJ 07733
Monmouth County (732) 217-3236
ELBASTY PEDIATRIC AN DENTA ASSOC.
Dentist
100 COMMONS WAY, SUITE 130
HOLMDEL, NJ 07733
Monmouth County (732) 615-0700
CHONG KIM PA
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
100 COMMONS WAY, SUITE 701
HOLMDEL, NJ 07733
Monmouth County (732) 796-0182

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.

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.

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 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.