SOUTH MOUNTAIN IMAGING; NPI #1225146020

Contact Information

SOUTH MOUNTAIN IMAGING

120 MILLBURNAVE
SUITE 101
MILLBURN, NJ 07041

Phone: 973-376-0900
Fax: 973-376-0010
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for SOUTH MOUNTAIN IMAGING

NPI # 1225146020

LBN Legal business name SOUTH MOUNTAIN IMAGING

Authorized official NORKA SUAREZ - (PARTNER RADIOLOGIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/29/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

2996308

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SOUTH MOUNTAIN IMAGING

Contact Information

Specialty

Radiology

NPI Profile & details for SOUTH MOUNTAIN IMAGING

Reviews for SOUTH MOUNTAIN IMAGING