Jersey Advanced MRI & Diagnostic Center of Edison

Primary specialty

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

License

24877 Issued in NJ

Legal business name

JERSEY ADVANCED MRI & DIAGNOSTIC CENTER OF EDISON

Practice address

1907 Oak Tree Rd
Edison, NJ 08820-2070

Phone

(732) 243-9909

NPI assigned

Dec 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Simon Ryoo

Title

Managing Partner

Phone

(732) 243-9909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1386150456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202070",
            "telephone_number": "732-243-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202070",
            "telephone_number": "732-243-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY ADVANCED MRI & DIAGNOSTIC CENTER OF EDISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "RYOO",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "732-243-9909",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NJ",
            "license": "24877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Louise Jenkins, MSW
• Sueann Jensen
• Luis Jeon, RN
• Jana'E Alese Jernigan, MS
• Jerrold & Press, M.D., P.a. (Edison Eye Group)
• Jersey Anesthesia & Pain Management Consultants, LLC
• Jersey Care Rides
• Jersey Central Physical Therapy
• Jersey Pharmacy LLC (Jersey Pharmacy)
• Jersey Shore Neurology PC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Edison, NJ
• Providers in Edison, 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 Mar 10, 2022; 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.