968 River Road Radiology

LBN: 968 River Road Radiology
968 River Road Radiology is an health care organization with primary practice located at 968 River Road , Edgewater NJ 07020. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. 968 River Road Radiology can be contacted via phone (856) 616-8100, or through Port, Robert S via phone (856) 616-8100.

Contact Information

Primary practice address
968 River Road Edgewater NJ 07020
Phone: (856) 616-8100
Fax: (856) 616-1919
Website:
Map and Directions
Authorized official contact:
Name: Port, Robert S Doctor of Medicine (MD)
Phone: (856) 616-8100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1679502215
LBN Legal business name 968 River Road Radiology
DBA Doing business as
Authorized official Port, Robert S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679502215 NPPES
New Jersey MEDICAID 0017507

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