Garden State Open MRI Diagnostic Center Inc

Primary specialty

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

License

261QM1200X Issued in NJ

Legal business name

GARDEN STATE OPEN MRI DIAGNOSTIC CENTER INC

Practice address

831 Main Ave
Passaic, NJ 07055-8400

Phone

(973) 614-9400

Fax

(973) 614-9441

NPI assigned

Dec 5, 2006

Last updated

May 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Abdur Rahman

Title

Owner

Phone

(973) 614-9400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1558429019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558400",
            "telephone_number": "973-614-9400",
            "fax_number": "973-614-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558400",
            "telephone_number": "973-614-9400",
            "fax_number": "973-614-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE OPEN MRI DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "ABDUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-614-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NJ",
            "license": "261QM1200X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063398",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tali E. Friedman, LCSW
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• Randi Raizel Garfinkel, LCSW
• Carmen M Garmendia
• Tanee Meshel Garrison, LCSW
• Kristen Gearity
• Albaraa Mohamed Gebril, RBT

• Magnetic Resonance Imaging (MRI) Clinic/Center in Passaic, NJ
• Providers in Passaic, 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 May 8, 2017; 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.