Healthcare Provider Details

I. General information

NPI: 1790652717
Provider Name (Legal Business Name): THE RADIOLOGY GROUP OF NEW JERSEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 US HIGHWAY 206 STE C
STANHOPE NJ
07874-3270
US

IV. Provider business mailing address

16 US HIGHWAY 206 STE C
STANHOPE NJ
07874-3270
US

V. Phone/Fax

Practice location:
  • Phone: 908-852-3301
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: VISHAL RUPANI
Title or Position: CEO
Credential:
Phone: 973-801-2739