Nydic Open MRI of America-Pensacola

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

NYDIC OPEN MRI OF AMERICA-PENSACOLA

Practice address

5330 N Davis Hwy
Pensacola, FL 32503-2006

Phone

(850) 484-8666

Fax

(850) 484-7663

NPI assigned

Jun 19, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lawrence M. Buchwalter

Title

President/Ceo

Phone

(201) 573-8080

Specialties & licenses 2

Addresses

Other identifiers 8

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1013952225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARAGON DR",
            "address_2": "SUITE 200",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451779",
            "telephone_number": "201-573-8080",
            "fax_number": "201-775-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032006",
            "telephone_number": "850-484-8666",
            "fax_number": "850-484-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYDIC OPEN MRI OF AMERICA-PENSACOLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BUCHWALTER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "201-573-8080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF FL",
            "identifier": "34-00045",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "1216008",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "7773831",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7855117",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "V2203",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDFOCUS",
            "identifier": "20332",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "59026119",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SYNERGY INSURANCE SYSTEMS",
            "identifier": "MR55114-61",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert C Nusbaum, M.D.
• Robert Chad Nusbaum
• Kendall Ray Nutt, M.A., CCC-A
• NW Health Services LLC
• Victor Emeka Nwosu, DPM
• John David Nye, M.D.
• Tiana Natal Nygaard, P.A.
• John Patrick O'Connell, B.A., NBC-HIS
• Thomas P O'Connell, M.D.
• Jan O'Donnell

• Radiology Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.