Nydic Open MRI of America-Westchester, L.L.C.

Primary specialty

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

Legal business name

NYDIC OPEN MRI OF AMERICA-WESTCHESTER, L.L.C.

Practice address

4 Westbrook Corporate Ctr
Tower 4, Suite 40
Westchester, IL 60154-5752

Phone

(708) 836-1050

Fax

(708) 836-1060

NPI assigned

Jun 20, 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 4

Other names 1

• Nydic-Westchester Other name

Practitioners 1

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

• Brad F. Melliere, M.D.

  • Diagnostic Radiology Physician
  • Arlington Heights, IL
  • NPI 1437150679
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043255284",
    "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": "4 WESTBROOK CORPORATE CTR",
            "address_2": "TOWER 4, SUITE 40",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545752",
            "telephone_number": "708-836-1050",
            "fax_number": "708-836-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYDIC OPEN MRI OF AMERICA-WESTCHESTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "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": "AETNA US HEALTHCARE",
            "identifier": "5251666",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2204858",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "01621906",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "5626535002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nydic-Westchester",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory Alan Nichols, RN, MSN, FNP-BC
• Daina Maria Norusis
• Lindsay A Norwood, PSY.D.
• Sunday Nwankpa
• Doris Nwoko, APRN
• Heather Nyheim
• Michael Kevin O'Donoghue, M.D.
• Jacqueline Ojiemwen, LSW
• Damian Olejarski, DO
• Omega Healthcare Services and Supply Inc

• Magnetic Resonance Imaging (MRI) Clinic/Center in Westchester, IL
• Providers in Westchester, IL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• 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.