Healthcare Provider Details

I. General information

NPI: 1205594512
Provider Name (Legal Business Name): NU IMAGERY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 01/05/2024
Certification Date: 12/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1069 RINGWOOD AVE SUITE 301-9
HASKELL NJ
07420
US

IV. Provider business mailing address

1069 RINGWOOD AVE SUITE 301-9
HASKELL NJ
07420
US

V. Phone/Fax

Practice location:
  • Phone: 201-350-7225
  • Fax:
Mailing address:
  • Phone: 201-350-7225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1285774554
Identifier TypeOTHER
Identifier State
Identifier IssuerNPI

VIII. Authorized Official

Name: DR. MELISSA SCOLLAN-KOLIOPOULOS
Title or Position: DIRECTOR
Credential: DNP
Phone: 201-350-7225