Provider Demographics
NPI:1316145741
Name:DOSHI DIAGNOSTIC IMAGING OF NEW JERSEY PC
Entity type:Organization
Organization Name:DOSHI DIAGNOSTIC IMAGING OF NEW JERSEY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:GELFAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-933-2800
Mailing Address - Street 1:999 STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-3551
Mailing Address - Country:US
Mailing Address - Phone:516-933-2800
Mailing Address - Fax:516-393-4710
Practice Address - Street 1:420 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-1921
Practice Address - Country:US
Practice Address - Phone:609-383-0500
Practice Address - Fax:609-383-0376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty