Provider Demographics
NPI:1851452569
Name:ONSITE DIAGNOSTIC ULTRASOUND INC.
Entity Type:Organization
Organization Name:ONSITE DIAGNOSTIC ULTRASOUND INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALPHONSE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHECCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:RVS RCS
Authorized Official - Phone:908-322-0055
Mailing Address - Street 1:532 DONA LN
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1838
Mailing Address - Country:US
Mailing Address - Phone:908-322-0055
Mailing Address - Fax:908-322-0055
Practice Address - Street 1:102 JAMES STREET
Practice Address - Street 2:SUITE 302
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820
Practice Address - Country:US
Practice Address - Phone:732-205-9515
Practice Address - Fax:732-205-9516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ098049Medicare ID - Type UnspecifiedIDTF