Nydic Open MRI of America-Boardman

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

NYDIC OPEN MRI OF AMERICA-BOARDMAN

Practice address

1449 Boardman Canfield Rd
Ste 140
Boardman, OH 44512-8070

Phone

(330) 965-7370

Fax

(330) 965-7377

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Lawrence M. Buchwalter

Title

Ceo

Phone

(201) 573-8080

Specialties & licenses 2

Addresses

Other identifiers 8

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1659374684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARAGON DR",
            "address_2": "STE 200",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451718",
            "telephone_number": "201-573-8080",
            "fax_number": "201-505-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 BOARDMAN CANFIELD RD",
            "address_2": "STE 140",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445128070",
            "telephone_number": "330-965-7370",
            "fax_number": "330-965-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYDIC OPEN MRI OF AMERICA-BOARDMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BUCHWALTER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-573-8080"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OH",
            "license": "0838-IC",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "175279",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE HEALTH PLANS",
            "identifier": "37524",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2433601",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC ALL PLANS",
            "identifier": "5739664",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "1206654",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDFOCUS",
            "identifier": "21503",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HC OF OHIO",
            "identifier": "16-01304",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "34187720100",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Boardman, OH
• Providers in Boardman, OH by specialty
• Radiology Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.