MEDICARE: CR MEDI CONSULT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2471C3402X	Radiography Radiologic Technologist
2	247100000X	Radiologic Technologist
3	2471C3401X	Computed Tomography Radiologic Technologist
4	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1902655400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CR MEDI CONSULT

Provider Business Mailing Address
First Line	:	222 JUMPING BROOK DR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-1002
Country	:	US
Telephone Number	:	347-684-3120
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 JUMPING BROOK DR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-1002
Country	:	US
Telephone Number	:	347-684-3120
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHAIM ROTH
Credential	:	RT(R)(CT)
Telephone Number	:	347-684-3120

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	06/22/2026

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Directions to “CR MEDI CONSULT ” Practice Location

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