Nydic Open MRI of America-Manhattan, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

NYDIC OPEN MRI OF AMERICA-MANHATTAN, LLC

Practice address

100 Paragon Dr
Suite 200
Montvale, NJ 07645-1718

Phone

(201) 573-8080

Fax

(201) 775-4306

NPI assigned

May 25, 2006

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 1

Addresses

Other identifiers 6

Other names 1

• Nydic-Manhattan Doing business as

Practitioners 1

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

• Robert S Port, MD

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1932208568
  NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023064987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101287807",
            "telephone_number": "212-348-3900",
            "fax_number": "212-348-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARAGON DR",
            "address_2": "SUITE 200",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451718",
            "telephone_number": "201-573-8080",
            "fax_number": "201-775-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYDIC OPEN MRI OF AMERICA-MANHATTAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "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": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO GROUP PROV NO",
            "identifier": "4154853",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD GROUP PROVIDER NO.",
            "identifier": "ANC736",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD-NYMI PROVIDER NO.",
            "identifier": "592",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET GROUP PROV NO",
            "identifier": "XC1282",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI GROUP PROVIDER NO.",
            "identifier": "4100608",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HEALTHCHOICE GROUP",
            "identifier": "WR6941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nydic-Manhattan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harriet Newman, LAC
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• Magnetic Resonance Imaging (MRI) Clinic/Center in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.