DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1922495787

NPI Code Detail

MEDICARE: RADIOLOGY ADVANTAGE NEW JERSEY PA

MEDICARE: RADIOLOGY ADVANTAGE NEW JERSEY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085B0100X	Body Imaging Physician		NJ
2	2085D0003X	Diagnostic Neuroimaging (Radiology) Physician		NJ
3	2085N0700X	Neuroradiology Physician		NJ
4	2085N0904X	Nuclear Radiology Physician		NJ
5	2085R0204X	Vascular & Interventional Radiology Physician		NJ
6	2085R0205X	Radiological Physics Physician		NJ
7	2085U0001X	Diagnostic Ultrasound Physician		NJ
8	2085R0202X	Diagnostic Radiology Physician		NJ

General Provider Information

NPI Number	:	1922495787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY ADVANTAGE NEW JERSEY PA

Provider Business Mailing Address
First Line	:	13737 NOEL RD
Second Line	:	#1600
City	:	DALLAS
State	:	TX
Zip	:	75240-1331
Country	:	US
Telephone Number	:	954-838-2371
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 MAIN ST
Second Line	:
City	:	BEDFORD HILLS
State	:	NY
Zip	:	10507-1814
Country	:	US
Telephone Number	:	914-666-2220
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	KATHLEEN KONDAS
Credential	:
Telephone Number	:	954-838-2371

Provider Enumeration Date	:	04/20/2015
Last Update Date	:	09/17/2019

Similar Medicare Providers

1134117831 — DR. STEVEN I WENGROVER M.D.
Practice Location Address:

52 MAIN ST
BEDFORD HILLS, NY
10507-1814

Practice Phone: 914-666-3320
Practice Fax: 914-666-3340

1740262203 — DR. IVY ENGEL M.D.
Practice Location Address:

52 MAIN ST
BEDFORD HILLS, NY
10507-1814

Practice Phone: 914-666-2220
Practice Fax: 914-666-2987

1679556088 — DR. MELVIN LEEDS M.D.
Practice Location Address:

52 MAIN ST
BEDFORD HILLS, NY
10507-1814

Practice Phone: 914-666-2220
Practice Fax: 914-666-2987

1710960133 — DR. PENNY LUSTIG M.D.
Practice Location Address:

52 MAIN ST
BEDFORD HILLS, NY
10507-1814

Practice Phone: 914-666-2220
Practice Fax: 914-666-2987

1235112301 — DR. ELIZABETH MARTIN M.D.
Practice Location Address:

52 MAIN ST
BEDFORD HILLS, NY
10507-1814

Practice Phone: 914-666-2220
Practice Fax: 914-666-2987

1134102270 — DR. STEVEN PRUFER M.D.
Practice Location Address:

52 MAIN ST
BEDFORD HILLS, NY
10507-1814

Practice Phone: 914-666-2220
Practice Fax: 914-666-2987

1275516288 — DR. ALAN TAFLER M.D.
Practice Location Address:

52 MAIN ST
BEDFORD HILLS, NY
10507-1814

Practice Phone: 914-666-2220
Practice Fax: 914-666-2987

Directions to “RADIOLOGY ADVANTAGE NEW JERSEY PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.