NYDIC OPEN MRI OF AMERICA-MANHATTAN, LLC


Address: 100 Paragon Dr, Suite 200, Montvale, NJ 07645-1718
Phone: 2015738080

NYDIC OPEN MRI OF AMERICA-MANHATTAN, LLC (NPI# 1023064987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023064987
Entity Type Organization
Organization Name NYDIC OPEN MRI OF AMERICA-MANHATTAN, LLC
Other Organization Name NYDIC-MANHATTAN
Practice Address 100 Paragon Dr
Suite 200
Montvale
NJ 07645-1718
Mailing Address 1725 York Ave
New York
NY 10128-7807
Practice Telephone 2015738080
Practice Fax Number 2017754306
Mailing Telephone 2123483900
Mailing Fax Number 2123483828
Enumeration Date 2006-05-25
Last Update Date 2020-08-22
Authorized Official Name MR. LAWRENCE M. BUCHWALTER (PRESIDENT/CEO)
Authorized Official Telephone 2015738080
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY OXFORD-NYMI PROVIDER NO. 592 01
NY HEALTHNET GROUP PROV NO XC1282 01
NY CIGNA PPO GROUP PROV NO 4154853 01
NY OXFORD GROUP PROVIDER NO. ANC736 01
NY EMPIRE HEALTHCHOICE GROUP WR6941 01
NY GHI GROUP PROVIDER NO. 4100608 01

Other Provider/Organization Names

Other Name Type Code
Nydic-Manhattan Doing Business As Name - Organization

Office Location

Street Address 100 PARAGON DR
SUITE 200
City MONTVALE
State NJ
Zip Code 07645-1718

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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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1790112035 Jersey Advanced Mri & Diagnostic Center Inc Clinic/Center 2127 Kennedy Blvd, North Bergen, NJ 07047-2018 2013-10-01
1760733109 Pennsauken Diagnostic Center LLC Clinic/Center 6027 S Crescent Blvd, Pennsauken, NJ 08110-6401 2012-09-25
1942555131 Jersey Advanced Mri and Diagnostic Center Clinic/Center 1 Kathleen Dr, Suite 4, Jackson, NJ 08527-2276 2012-07-13
1174892749 North Hudson Radiology Clinic/Center 2100 Summit Ave, Union City, NJ 07087-2127 2011-12-27
1891099362 Columbus Imaging Center LLC Clinic/Center 481-495 North 13th Street, Newark, NJ 07107-1317 2010-12-27
1528371275 East Brunswick Imaging Associates LLC Clinic/Center 647 Route 18 Ste W, East Brunswick, NJ 08816-3747 2010-07-23
1518293638 Columbus Imaging Center LLC Clinic/Center 481 N 13th St, Newark, NJ 07107-1317 2009-10-23
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Competitor

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City MONTVALE
Zip Code 07645

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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