{"npi":"1295968154","type":"NPI-2","status":"active","name":{"display":"Jersey Diagnostic Imaging, LLC","other":[],"organization_name":"JERSEY DIAGNOSTIC IMAGING, LLC","authorised_official":"Danuta Wasilczuk"},"specialty":{"primary_taxonomy":"261QR0208X","primary_taxonomy_description":"Mobile Radiology Clinic/Center","slug":"mobile-radiology-clinic-center","schema_org_specialty":null,"all":[{"code":"261QR0208X","description":"Mobile Radiology Clinic/Center","primary":true,"state":"NJ","license":"1325977"}]},"addresses":[{"purpose":"LOCATION","street_1":"929 N WOOD AVE","city":"LINDEN","state":"NJ","postal_code":"070364039","country_code":"US","phone":"9082415222","fax":"9082410332"},{"purpose":"MAILING","street_1":"929 N WOOD AVE","city":"LINDEN","state":"NJ","postal_code":"070364039","country_code":"US","phone":"9082415222","fax":"9082410332"}],"license":{"state":"NJ","number":"1325977"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0212121","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100923001406","type_code":"12-47","type_desc":"PART B SUPPLIER - INDEPENDENT DIAGNOSTIC TESTING FACILITY (IDTF)","state":"NJ","pac_id":"4880710102"}]},"enumeration_date":"2009-08-26","last_updated":"2010-03-17","_meta":{"source":"NPPES","snapshot_date":"2010-03-17","doc_url":"https://findmynpi.com/api"}}