Omic Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

22785 & 22787 Issued in NJ

Legal business name

OMIC INC

Practice address

550 Kinderkamack Rd
Oradell, NJ 07649-1500

Phone

(201) 599-8100

Fax

(201) 599-8480

NPI assigned

Aug 21, 2006

Last updated

Sep 12, 2016By 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

Yaldar T Taher, DPT

Title

Director

Phone

(973) 652-8595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Magnetic Resonance of New Jersey, PA Former legal business name

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1639285919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491500",
            "telephone_number": "201-599-8100",
            "fax_number": "201-599-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491500",
            "telephone_number": "201-599-8100",
            "fax_number": "201-599-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "TAHER",
        "authorized_official_first_name": "YALDAR",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-652-8595",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "22785 & 22787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7610602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnetic Resonance of New Jersey, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Howard Jack Novack, DDS
• Ryan J Oconnor, DPT
• Stella Kyung Seok Oh, D.D.S.
• Elona Olevsky, LAC
• Omic Inc (Oradel Medical Imaging)
• Oradell Acupuncture & Herbs PC
• Oradell Ambulatory Surgery Center,LLC
• Oradell Dental Associates
• Oradell Medical Imaging Center, LLC
• Young Hyun Pak, D.D.S.

• Radiology Clinic/Center in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Radiology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.