Provider Demographics
NPI:1952471013
Name:DIAGNOSTIC ULTRASOUND PLUS INC
Entity Type:Organization
Organization Name:DIAGNOSTIC ULTRASOUND PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-541-1070
Mailing Address - Street 1:PO BOX 451
Mailing Address - Street 2:
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-0451
Mailing Address - Country:US
Mailing Address - Phone:201-541-1070
Mailing Address - Fax:201-541-1208
Practice Address - Street 1:2125 CENTER AVE STE 510
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5874
Practice Address - Country:US
Practice Address - Phone:201-541-1070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ023971Medicare PIN
NY97Z201Medicare PIN