MRI OF WOODBRIDGE LLC NPI 1003872953

NPI Information

NPI: 1003872953
Provider Name: MRI OF WOODBRIDGE LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1500 SAINT GEORGES AVE
AVENEL, NJ
ZIP 07001
Phone: (732) 574-0742
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MRI OF WOODBRIDGE LLC is a radiology clinic center in Avenel, NJ. MRI OF WOODBRIDGE LLC NPI is 1003872953. The provider is registered as an organization entity type.

The provider's business location address is:

1500 SAINT GEORGES AVE
AVENEL, NJ
ZIP 07001-000
Phone: (732) 574-0742
Fax: (732) 574-0143

The provider's authorized official is Leo Fontana .
The authorized official title is Medical Director and has the following contact phone number (732) 574-0742.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 5/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	22624	NEW JERSEY	No
2	261QR0200X	Clinic/Center	Radiology	22624	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	188501	OTHER	NEW JERSEY	AMERIGROUP
2	A2539097	OTHER	NEW JERSEY	OXFORD
3	0268620000	OTHER	NEW JERSEY	AMERIHEALTH
4	134438XX	OTHER	NEW JERSEY	PREFERRED CARE
5	1K2970	OTHER	NEW JERSEY	HEALTHNET
6	4199032	OTHER	NEW JERSEY	GHI
7	034290	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
8	1166754	OTHER	NEW JERSEY	HORIZON NJ HEALTH
9	343114	OTHER	NEW JERSEY	KEYSTONE HEALTH PLAN
10	2308288	OTHER	NEW JERSEY	AETNA
11	347671200	OTHER	NEW JERSEY	US DEPARTMENT OF LABOR
12	CH3126	OTHER	NEW JERSEY	PALMETTO GBA RAILROAD MED
13	034290	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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