NPIMap

Organization Active NPI

Hoboken MRI, P.a.

  • Radiology Clinic/Center
  • Hoboken, NJ
National Provider Identifier
1023034063
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
22536 Issued in NJ
Legal business name
HOBOKEN MRI, P.A.
Practice address
2 Hudson PL
First Floor
Hoboken, NJ 07030-5594
Phone
(201) 418-0040
Fax
(201) 418-8510
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Dr. Mark Jay Berger, MD
Title
Director
Phone
(201) 418-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 22536 NJ Primary

Addresses

Primary practice location

2 Hudson PL
First Floor
Hoboken, NJ 07030-5594

Mailing address

2 Hudson PL
First Floor
Hoboken, NJ 07030-5594
Phone (201) 418-0040

Other identifiers 1

IdentifierTypeStateIssuer
6903401MedicaidNJ

Other names 1

  • Hoboken Medical Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

2 Hudson Pl
Ste 102
Hoboken, NJ 07030
Phone (201) 418-0040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1023034063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HUDSON PL",
            "address_2": "FIRST FLOOR",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305594",
            "telephone_number": "201-418-0040",
            "fax_number": "201-418-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HUDSON PL",
            "address_2": "FIRST FLOOR",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305594",
            "telephone_number": "201-418-0040",
            "fax_number": "201-418-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBOKEN MRI, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-418-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "22536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6903401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoboken Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.