Provider Demographics
NPI:1427152776
Name:DIAGNOSTIC MEDICAL CONSULTANTS
Entity type:Organization
Organization Name:DIAGNOSTIC MEDICAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-536-8100
Mailing Address - Street 1:23 KILMAR DRIVE AT RT 9
Mailing Address - Street 2:BUILDING ONE SUITE E
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751
Mailing Address - Country:US
Mailing Address - Phone:732-536-8100
Mailing Address - Fax:732-536-8843
Practice Address - Street 1:1000 GALLOPING HILL ROAD
Practice Address - Street 2:AT UNION HOSPITAL
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083
Practice Address - Country:US
Practice Address - Phone:908-851-7024
Practice Address - Fax:908-851-5867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7997906Medicaid
NJ0045055Medicaid
NJ5040605Medicaid
NJ5040605Medicaid
NJ0045055Medicaid