Provider Demographics
NPI:1215756432
Name:DIKENGIL RADIOLOGY ASSOCIATES, P.C.
Entity type:Organization
Organization Name:DIKENGIL RADIOLOGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASIM
Authorized Official - Middle Name:G
Authorized Official - Last Name:DIKENGIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-956-2108
Mailing Address - Street 1:115 ROUTE 46 W STE D25-26
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1668
Mailing Address - Country:US
Mailing Address - Phone:973-265-8230
Mailing Address - Fax:
Practice Address - Street 1:115 ROUTE 46 W STE D25-26
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1668
Practice Address - Country:US
Practice Address - Phone:973-265-8230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty