Imaging Center Montville LLC Wayne Radiology Center
NPI 1063172476ActiveOrganization· Radiology, Diagnostic Radiology· Wayne, NJ
Radiology, Diagnostic Radiology in Wayne, New Jersey, registered in NPPES in December 2021. The authorized official on file is Jefferson Mar, Administrator. Medicare paid $165,172 for services to 786 patients in 2024.
Overview
| NPI | 1063172476 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2021 |
| Last updated in NPPES | Dec 27, 2021 |
| Certified by provider | Dec 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Clinic/Center, Radiology | 261QR0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 786 |
|---|---|
| Services billed | 1,382 across 97 procedure codes |
| Paid by Medicare | $165,172 |
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