Medical Imaging Center of North Jersey Inc

Primary specialty

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

License

23240 Issued in NJ

Legal business name

MEDICAL IMAGING CENTER OF NORTH JERSEY INC

Practice address

1111 Paulison Ave
Clifton, NJ 07011-3600

Phone

(973) 253-2900

Fax

(973) 253-3859

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Lisa Marie Mercante

Title

Office Manager

Phone

(973) 253-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1356436232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113600",
            "telephone_number": "973-253-2900",
            "fax_number": "973-253-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113600",
            "telephone_number": "973-253-2900",
            "fax_number": "973-253-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING CENTER OF NORTH JERSEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "MERCANTE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-253-2900"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NJ",
            "license": "23240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105546",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane Robert McParand, OTR/L
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• Evangelos Megariotis, M.D.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.