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NPI Code Detail

MEDICARE: ONEIMAGING MEDICAL SERVICES NJ PC

MEDICARE: ONEIMAGING MEDICAL SERVICES NJ PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1750221701
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONEIMAGING MEDICAL SERVICES NJ PC
Provider Business Mailing Address
First Line : 3723 GREENVILLE AVE STE 41248
Second Line :
City : DALLAS
State : TX
Zip : 75206-5311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4 VALLEY HEALTH PLZ
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-3619
Country : US
Telephone Number : 833-619-0837
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : YEJOON CHUNG
Credential :
Telephone Number : 616-226-3999
Provider Enumeration Date : 03/30/2026
Last Update Date : 04/06/2026

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