Organization Active NPI

Open MRI & Imaging of Newark

  • Diagnostic Radiology Physician
  • Newark, NJ
National Provider Identifier
1386864635
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22479 Issued in NJ
Legal business name
OPEN MRI & IMAGING OF NEWARK
Practice address
243 Chestnut Street
Newark, NJ 07105-6501
Phone
(973) 274-0200
Fax
(973) 274-0220
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mr. Benedetto Bigica
Title
President
Phone
(973) 274-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 22479 NJ Primary

Addresses

Primary practice location

243 Chestnut Street
Newark, NJ 07105-6501

Mailing address

243 Chestnut Street
Newark, NJ 07105-6501
Phone (973) 274-0200

Other identifiers 1

IdentifierTypeStateIssuer
0122068MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1386864635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHESTNUT STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071056501",
            "telephone_number": "973-274-0200",
            "fax_number": "973-274-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHESTNUT STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071056501",
            "telephone_number": "973-274-0200",
            "fax_number": "973-274-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI & IMAGING OF NEWARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "BIGICA",
        "authorized_official_first_name": "BENEDETTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-274-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "22479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122068",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.