Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Millburn Medical Imaging, PA

Organization Diagnostic Radiology Physician · NPI 1356396873

Millburn Medical Imaging, PA is a Diagnostic Radiology Physician in Maplewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2130 Millburn Ave
Maplewood, NJ 07040
Phone: (973) 912-0404
Fax: (973) 912-0444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 22950 (NJ)

Record details

NPI number1356396873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Neshibal — Authorized Official · (973) 912-0404
NPI enumeratedMay 23, 2006
Last updated in NPPESMay 1, 2008
Mailing address2130 Millburn Avenue, Maplewood, NJ 07040

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