Healthcare Provider Details

I. General information

NPI: 1356392146
Provider Name (Legal Business Name): HEIGHTS IMAGING ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 WHITE HORSE PIKE SUITE 9
HADDON HEIGHTS NJ
08035-1299
US

IV. Provider business mailing address

17 WHITE HORSE PIKE SUITE 9
HADDON HEIGHTS NJ
08035-1299
US

V. Phone/Fax

Practice location:
  • Phone: 856-546-1177
  • Fax: 856-546-0666
Mailing address:
  • Phone: 856-546-1177
  • Fax: 856-546-0666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number22622
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number22622
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number22622
License Number StateNJ

VIII. Authorized Official

Name: DR. JAMES H JACOBY
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 856-546-1177