OPEN MRI OF FAIRVIEW NPI 1932125952

NPI Information

NPI: 1932125952
Provider Name: OPEN MRI OF FAIRVIEW

Doing Business As: SUPERIOR MEDICAL IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
178 BERGEN BLVD
FAIRVIEW, NJ
ZIP 07022
Phone: (201) 941-7575
Get Directions

OPEN MRI OF FAIRVIEW is a radiology clinic center in Fairview, NJ. OPEN MRI OF FAIRVIEW NPI is 1932125952. The provider is registered as an organization entity type.
The provider Is Doing Business As Superior Medical Imaging.

The provider's business location address is:

178 BERGEN BLVD
FAIRVIEW, NJ
ZIP 07022
Phone: (201) 941-7575
Fax: (201) 941-1660

The provider's authorized official is Lisa A Gagliano .
The authorized official title is Administrator and has the following contact phone number (201) 941-7575.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.

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	261QR0200X	Clinic/Center	Radiology	22693	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	8000603	MEDICAID	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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