Organization Active NPI

Bucks County Radiology Associates, PC

Doing business as Tri State Open MRI

  • Body Imaging Physician
  • Matamoras, PA
National Provider Identifier
1083627731
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
BUCKS COUNTY RADIOLOGY ASSOCIATES, PC
Doing business as
Tri State Open MRI
Practice address
111 Hulst Dr
Suite 708
Matamoras, PA 18336-2115
Phone
(570) 491-9200
Fax
(570) 491-9201
NPI assigned
Aug 14, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Howward B. Kessler, M.D.
Title
Vice President
Phone
(570) 491-9200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X Primary
Neuroradiology Physician 2085N0700X
Nuclear Radiology Physician 2085N0904X
Diagnostic Radiology Physician 2085R0202X

Addresses

Primary practice location

111 Hulst Dr
Suite 708
Matamoras, PA 18336-2115

Mailing address

1001 Briggs Rd
Suite 210
Mount Laurel, NJ 08054-4100
Phone (856) 231-4774

Other identifiers 1

IdentifierTypeStateIssuer
0017448860017MedicaidPA

Other names 1

  • Tri State Open MRI Doing business as

National Provider Directory

National Provider Directory

Locations

111 Hulst Dr
Ste 708
Matamoras, PA 18336
Phone (570) 491-2900

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1083627731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BRIGGS RD",
            "address_2": "SUITE 210",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544100",
            "telephone_number": "856-231-4774",
            "fax_number": "856-231-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HULST DR",
            "address_2": "SUITE 708",
            "city": "MATAMORAS",
            "state": "PA",
            "postal_code": "183362115",
            "telephone_number": "570-491-9200",
            "fax_number": "570-491-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS COUNTY RADIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "HOWWARD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-491-9200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017448860017",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri State Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matamoras, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.