Provider Demographics
NPI:1386862084
Name:DIAGNOSTIC ULTRASOUND ASSOCIATES OF BERGEN COUNTY INC.
Entity Type:Organization
Organization Name:DIAGNOSTIC ULTRASOUND ASSOCIATES OF BERGEN COUNTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAYASHREE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:201-438-6111
Mailing Address - Street 1:740 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CARLSTADT
Mailing Address - State:NJ
Mailing Address - Zip Code:07072-1737
Mailing Address - Country:US
Mailing Address - Phone:201-438-6111
Mailing Address - Fax:201-438-6111
Practice Address - Street 1:32 HINE ST
Practice Address - Street 2:SUI 212
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2955
Practice Address - Country:US
Practice Address - Phone:973-881-7786
Practice Address - Fax:201-438-6111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty