Organization Active NPI

Open MRI of Morristown Joint Venture

Doing business as Open MRI of Morristown

  • Radiology Clinic/Center
  • Morristown, NJ
National Provider Identifier
1295772572
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
23095 Issued in NJ
Legal business name
OPEN MRI OF MORRISTOWN JOINT VENTURE
Doing business as
Open MRI of Morristown
Practice address
95 Madison Ave
Suite B04
Morristown, NJ 07960-6092
Phone
(973) 539-3373
Fax
(973) 539-7677
NPI assigned
Jun 2, 2006
Last updated
Jan 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Mr. Robert M Clymer
Title
Administrator
Phone
(973) 539-3373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 23095 NJ Primary

Addresses

Primary practice location

95 Madison Ave
Suite B04
Morristown, NJ 07960-6092

Mailing address

95 Madison Ave
Suite B04
Morristown, NJ 07960-6092
Phone (973) 539-3373

Other identifiers 2

IdentifierTypeStateIssuer
0123498MedicaidNJ
3459900MedicaidNJ

Other names 1

  • Open MRI of Morristown Doing business as

National Provider Directory

National Provider Directory

Locations

95 Madison Ave
Ste B04
Morristown, NJ 07960
Phone (973) 539-3373

Practitioners & affiliated clinicians

Practitioners 1

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1295772572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "address_2": "SUITE B04",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606092",
            "telephone_number": "973-539-3373",
            "fax_number": "973-539-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "address_2": "SUITE B04",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606092",
            "telephone_number": "973-539-3373",
            "fax_number": "973-539-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF MORRISTOWN JOINT VENTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "CLYMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-539-3373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "23095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123498",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3459900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI of Morristown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.