National Provider Identifier Database

SOUTH MOUNTAIN IMAGING
Radiology


Contact Information

SOUTH MOUNTAIN IMAGING
120 MILLBURNAVE
SUITE 101
MILLBURN, NJ07041
Phone: 973-376-0900
Fax: 973-376-0010
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for SOUTH MOUNTAIN IMAGING

NPI Number 1225146020
Legal business name
LBN
SOUTH MOUNTAIN IMAGING
Authorized official NORKA SUAREZ - (PARTNER RADIOLOGIST)
Entity Organization
Organization subpart No
Enumeration date 08/29/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ Medicaid: 2996308

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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