NPIMap

Organization Active NPI

MRI Physician Associates, PC

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1366501637
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MRI PHYSICIAN ASSOCIATES, PC
Practice address
2451 Grant Ave
Philadelphia, PA 19114-1031
Phone
(215) 464-8050
Fax
(215) 673-5767
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Authorized official

Name
Dr. Jaime Louis Checkoff, M.D.NPI 1558341297
Title
Medical Director
Phone
(215) 464-8050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2451 Grant Ave
Philadelphia, PA 19114-1031

Mailing address

2451 Grant Ave
Philadelphia, PA 19114-1031
Phone (215) 464-8050

Other identifiers 4

IdentifierTypeStateIssuer
CN1450OtherRAILROAD MEDICARE
0345430000OtherPAINDEPENDENCE BLUE CROSS
5123334OtherPAAETNA PPO
035757OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

9432 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 464-8050

10160 Bustleton Ave
Ste D
Philadelphia, PA 19116
Phone (215) 464-8050

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1366501637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141031",
            "telephone_number": "215-464-8050",
            "fax_number": "215-673-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141031",
            "telephone_number": "215-464-8050",
            "fax_number": "215-673-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI PHYSICIAN ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "CHECKOFF",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-464-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN1450",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0345430000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5123334",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "035757",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.