Provider Demographics
NPI:1669425096
Name:ASSOCIATED RADIOLOGISTS PA
Entity type:Organization
Organization Name:ASSOCIATED RADIOLOGISTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-968-1500
Mailing Address - Street 1:239 ROUTE 22 EAST , SUITE 302
Mailing Address - Street 2:
Mailing Address - City:GREEN BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1916
Mailing Address - Country:US
Mailing Address - Phone:908-769-1262
Mailing Address - Fax:908-279-7221
Practice Address - Street 1:239 ROUTE 22 EAST
Practice Address - Street 2:SUITE 302
Practice Address - City:GREEN BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08812-1916
Practice Address - Country:US
Practice Address - Phone:732-968-4899
Practice Address - Fax:732-968-8096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ41241OtherAETNA
NJ12MOtherCARECORE NATIONAL
NJ2645301Medicaid
NJCC8391OtherRAILROAD MEDICARE
NJ41241OtherAETNA
NJ12MOtherCARECORE NATIONAL