NPIMap

Organization Active NPI

Open MRI of Warren LLLC

Doing business as Progressive Diagnostic Imaging

  • Radiology Clinic/Center
  • Riverdale, NJ
National Provider Identifier
1275732034
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
OPEN MRI OF WARREN LLLC
Doing business as
Progressive Diagnostic Imaging
Practice address
44 Route 23 North
Suite 100
Riverdale, NJ 07457
Phone
(973) 839-5004
Fax
(973) 839-5006
NPI assigned
Jul 12, 2007
Last updated
Jul 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Mr. Vincent Festante
Title
Credentialing Manager
Phone
(570) 619-6294

Specialties & licenses 1

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

Addresses

Primary practice location

44 Route 23 North
Suite 100
Riverdale, NJ 07457

Mailing address

44 Route 23 North
Suite 100
Riverdale, NJ 07457
Phone (973) 839-5004

Other names 1

  • Progressive Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

44 State Rt 23
#100
Riverdale, NJ 07457
Phone (973) 839-5004

44 State Rt 23
Ste 100
Riverdale, NJ 07457
Phone (973) 839-5004

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1275732034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ROUTE 23 NORTH",
            "address_2": "SUITE 100",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07457",
            "telephone_number": "973-839-5004",
            "fax_number": "973-839-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ROUTE 23 NORTH",
            "address_2": "SUITE 100",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07457",
            "telephone_number": "973-839-5004",
            "fax_number": "973-839-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF WARREN LLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "FESTANTE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "570-619-6294",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.