MEDICARE: RADIUS TELEMED, LLC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1821618968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIUS TELEMED, LLC

Provider Business Mailing Address
First Line	:	21 LINCOLN AVE
Second Line	:
City	:	ELMWOOD PARK
State	:	NJ
Zip	:	07407-1614
Country	:	US
Telephone Number	:	877-360-1122
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 2ND ST PH 4102
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-7028
Country	:	US
Telephone Number	:	201-294-6209
Fax Number	:

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	DR. DANI KORYA
Credential	:	MD
Telephone Number	:	201-294-6209

Provider Enumeration Date	:	04/18/2020
Last Update Date	:	04/18/2020

Similar Medicare Providers

1497094072 — SHARON KAYE ANDREWS
Practice Location Address:

1156 W HEFNER RD
OKLAHOMA CITY, OK
73114-7028

Practice Phone: 323-459-4255
Practice Fax:

1134595606 — SHAYLA JOHNSON
Practice Location Address:

5201 N MICHIGAN ST
OKLAHOMA CITY, OK
73111-7028

Practice Phone: 405-200-6665
Practice Fax:

1538044326 — GIOVANNY A LOZANO
Practice Location Address:

17 PRINCE ST
NEW CITY, NY
10956-7028

Practice Phone: 646-234-0782
Practice Fax: 646-234-0782

1457289191 — BO SUNG JUNG M.D.
Practice Location Address:

355 GRAND STREET
JERSEY CITY, NJ
07302

Practice Phone: 646-275-5716
Practice Fax:

1386412203 — CAREBRIDGE MEDICAL GROUP NJ PC
Practice Location Address:

101 HUDSON ST FL 21
JERSEY CITY, NJ
07302-3929

Practice Phone: 615-436-9060
Practice Fax:

1558459727 — MS. MANOLA TEJADA D.C.
Practice Location Address:

319 BARROW ST SUITE 1A
JERSEY CITY, NJ
07302-3579

Practice Phone: 201-433-2096
Practice Fax:

Directions to “RADIUS TELEMED, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.