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Prime Radiology, LLC

Radiological Physics Physician in Newark, NJ · enumerated 2006 · authorized official Suresh Mody, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164437547

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Registry record

Entity type Organization (Type 2)
Legal business name Prime Radiology, LLC
Practice address 111 Central Ave, Newark, NJ, 07102
Enumeration date Jul 31, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

2085B0100X Body Imaging Physician Allopathic & Osteopathic Physicians Secondary
2085N0700X Neuroradiology Physician Allopathic & Osteopathic Physicians Secondary
2085N0904X Nuclear Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085R0205X Radiological Physics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Suresh Mody
Title President

Other identifiers

Identifier Type State Issuer
8112304 Medicaid NJ -
1171435 Other NJ HORIZON NJ HEALTH
0095270001 Other NJ AMERIHEALTH
1943299 Other NJ UNITED HEALTH CARE
J11285 Other NJ HEALTH NET
CG5834 Other NJ RAILROAD MEDICARE
A2021347 Other NJ OXFORD
WT154 Other NJ WELLCHOICE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Prime Radiology, LLC?
Prime Radiology, LLC is registered in NPPES as a Radiological Physics Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.