Healthcare Provider Details

I. General information

NPI: 1093635443
Provider Name (Legal Business Name): FREEHOLD IMAGING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W MAIN ST STE 10
FREEHOLD NJ
07728-2523
US

IV. Provider business mailing address

900 W MAIN ST STE 10
FREEHOLD NJ
07728-2523
US

V. Phone/Fax

Practice location:
  • Phone: 718-288-5575
  • Fax:
Mailing address:
  • Phone: 718-288-5575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARKADIY GITELMAN
Title or Position: ADMINISTRATOR
Credential: ADMINISTRATOR
Phone: 718-288-5575