OPEN MRI OF FAIRVIEW (NPI# 1932125952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932125952 |
| Entity Type | Organization |
| Organization Name | OPEN MRI OF FAIRVIEW |
| Other Organization Name | SUPERIOR MEDICAL IMAGING |
| Practice Address |
178 Bergen Blvd Fairview NJ 07022 |
| Mailing Address |
178 Bergen Blvd Po Box 99 Fairview NJ 07022 |
| Practice Telephone | 2019417575 |
| Practice Fax Number | 2019411660 |
| Mailing Telephone | 2019417575 |
| Mailing Fax Number | 2019411660 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LISA A GAGLIANO (ADMINISTRATOR) |
| Authorized Official Telephone | 2019417575 |
| Authorized Official Credential | RT CXT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
22693 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8000603 | 05 |
| Other Name | Type Code |
|---|---|
| Superior Medical Imaging | Doing Business As Name - Organization |
| Street Address |
178 BERGEN BLVD |
| City | FAIRVIEW |
| State | NJ |
| Zip Code | 07022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053780916 | Fairview Imaging Center Inc | Clinic/Center | 178 Bergen Blvd, Fairview, NJ 07022-1620 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043393085 | Advanced Physical Medicine Center, LLC | Clinic/Center | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-23 |
| 1104902212 | Marianne Encarnacion | Physical Therapist | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-31 |
| 1831275940 | David Berk | Chiropractor | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-31 |
| 1548343585 | Michael Arber | Chiropractor | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-23 |
| 1518982172 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2006-07-13 |
| 1154599421 | Evan Reinecke | Pharmacist | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2008-02-20 |
| 1326216813 | Max Gruenberg | Pharmacist | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2008-02-18 |
| 1356819767 | Young Sun Kim | Acupuncturist | 452 N 8th St Unit B, Fairview, NJ 07022-1106 | 2018-11-05 |
| 1780077875 | Mina Garas | Pharmacist | 374 Park Ave, Fairview, NJ 07022-1114 | 2015-03-12 |
| 1760842116 | Mohammed Ateeli | Emergency Medical Technician, Basic | 383 Park Ave, 1st Floor, Fairview, NJ 07022-1116 | 2016-02-27 |
| Find all providers in zip 07022 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053780916 | Fairview Imaging Center Inc | Clinic/Center | 178 Bergen Blvd, Fairview, NJ 07022-1620 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912522889 | Lasting Impression Medical Aesthetics, LLC | Clinic/Center | 25-15 Fair Lawn Ave Lowr Levelr, Fair Lawn, NJ 07410-3434 | 2020-06-16 |
| 1679030415 | Imagecare LLC | Clinic/Center | 57 Route 46 Ste 212, Hackettstown, NJ 07840-2695 | 2019-02-28 |
| 1043719628 | Imaginginterventions, LLC | Clinic/Center | 186 Princeton Hightstown Rd Bldg 3b, West Windsor, NJ 08550-1668 | 2018-02-08 |
| 1023530821 | Advanced Imaging Medical LLC | Clinic/Center | 400 Delancey St Ste 108, Newark, NJ 07105-3846 | 2017-07-13 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1750762449 | Atrium Diagnostic Imaging LLC | Clinic/Center | 224 Taylors Mills Rd Ste 108, Manalapan, NJ 07726-3281 | 2015-06-18 |
| 1851734123 | Hds Medical Imaging LLC | Clinic/Center | 845 Newark Ave, Jersey City, NJ 07306-5194 | 2013-04-16 |
| 1720326119 | Advanced Imaging Center LLC | Clinic/Center | 400 Delancey St, Suite 108, Newark, NJ 07105-3846 | 2013-01-21 |
| 1043563679 | Pet/ct Center of New Jersey | Clinic/Center | 235 Franklin Ave, Nutley, NJ 07110-2708 | 2012-10-19 |
| 1679831671 | Eastern Diagnostic Services LLC | Clinic/Center | 1121 Inwood Ter, Fort Lee, NJ 07024-1623 | 2012-04-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OPEN MRI OF FAIRVIEW.
| 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.