Englewood Radiologic Group P A

LBN: Englewood Radiologic Group P A
Englewood Radiologic Group P A is an health care organization with primary practice located at 350 Engle St , Englewood NJ 07631. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Englewood Radiologic Group P A can be contacted via phone (201) 894-3400, or through Shapiro, Mark via phone (201) 894-3480.

Contact Information

Primary practice address
350 Engle St Englewood NJ 07631
Phone: (201) 894-3400
Fax: (201) 894-5244
Website:
Map and Directions
Authorized official contact:
Name: Shapiro, Mark Doctor of Medicine (MD)
Phone: (201) 894-3480

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1639136914
LBN Legal business name Englewood Radiologic Group P A
DBA Doing business as
Authorized official Shapiro, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Jan 12th, 2024 - about 10 months 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 1639136914 NPPES
New Jersey MEDICAID 2616904

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