Healthcare Provider Details

I. General information

NPI: 1811994791
Provider Name (Legal Business Name): RADIOLOGY AFFILIATES OF CENTRAL NEW JERSEY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 02/22/2025
Certification Date: 02/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 KUSER RD
HAMILTON NJ
08691-3302
US

IV. Provider business mailing address

PO BOX 787512
PHILADELPHIA PA
19178-7512
US

V. Phone/Fax

Practice location:
  • Phone: 609-585-8800
  • Fax: 609-585-1825
Mailing address:
  • Phone: 609-689-1600
  • Fax: 609-689-1200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHARLEE LEBLEU
Title or Position: VICE PRESIDENT
Credential:
Phone: 480-321-7026