Organization Active NPI

Canfield Medical Imaging Associates, PA

Doing business as Open MRI of Fairfield

  • Radiology Clinic/Center
  • Fairfield, NJ
National Provider Identifier
1245257286
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
23184 Issued in NJ
Legal business name
CANFIELD MEDICAL IMAGING ASSOCIATES, PA
Doing business as
Open MRI of Fairfield
Practice address
343 Passaic Ave
Suite C
Fairfield, NJ 07004-2003
Phone
(973) 227-2308
Fax
(973) 227-3475
NPI assigned
Jul 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sue Yeh
Title
Ceo
Phone
(973) 227-2308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 23184 NJ Primary

Addresses

Primary practice location

343 Passaic Ave
Suite C
Fairfield, NJ 07004-2003

Mailing address

343 Passaic Ave
Suite C
Fairfield, NJ 07004-2003
Phone (973) 227-2308

Other names 1

  • Open MRI of Fairfield Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061206000103 NJ Part B Supplier - Clinic/Group Practice 6406841261 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfield, NJ

National Provider Directory

National Provider Directory

Locations

908 Pompton Ave
Ste B1
Cedar Grove, NJ 07009
Phone (973) 857-1201

343 Passaic Ave
#C
Fairfield, NJ 07004

343 Passaic Ave
Ste 3
Fairfield, NJ 07004

343 Passaic Ave
Ste C
Fairfield, NJ 07004
Phone (973) 227-2308

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245257286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 PASSAIC AVE",
            "address_2": "SUITE C",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042003",
            "telephone_number": "973-227-2308",
            "fax_number": "973-227-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 PASSAIC AVE",
            "address_2": "SUITE C",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042003",
            "telephone_number": "973-227-2308",
            "fax_number": "973-227-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANFIELD MEDICAL IMAGING ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-227-2308",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "23184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI of Fairfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, NJ

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.