Premier Pet Imaging Of New Jersey Inc., NPI 1215992953
Clinic/Center in Parsippany, NJ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1215992953
NPI Entity Type Organization
Provider Name Premier Pet Imaging Of New Jersey Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 119 Cherry Hill Rd, Suite 100, Parsippany, NJ, US
Provider Mailing Address Po Box 343, Wichita, KS, US, 672010343
Is Sole Proprietor? No
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Organization Official

Official Name MR. George Mahoney II
Official Position CHIEF FINANCIAL OFFICER
Phone 561-447-0046

Primary Taxonomy

Taxonomy Code

261Q00000X

Taxonomy Name Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 261Q00000X
License State NJ
Description A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

Premier Pet Imaging Of New Jersey Inc.
119 Cherry Hill Rd
Suite 100

Parsippany, NJ, US

Phone: 973-394-0455
Fax: 973-394-0456

Mailing Address

Premier Pet Imaging Of New Jersey Inc.
Po Box 343
Wichita, KS, US
ZIP 672010343
Phone: 316-262-2015
Fax: 316-262-2407

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0052370 NJ MEDICAID 05
P00105394 NJ RR MEDICARE 01

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1477277028

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DR. PHARMD Heather Roni Pass

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PA-C Meghan Sue Fullarton

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LCSW Nancy F. Perez

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Clinical Social Worker

890 Mountain Ave

New Providence, NJ

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