Jennersville Open MRI and Imaging Center, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

3688169 Issued in PA

Legal business name

JENNERSVILLE OPEN MRI AND IMAGING CENTER, LLC

Practice address

900 W Baltimore Pike
Suite 102
West Grove, PA 19390

Phone

(610) 869-8889

Fax

(610) 869-7688

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Rollins

Title

Managing Partner

Phone

(610) 869-8889

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1659488161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W BALTIMORE PIKE",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909313",
            "telephone_number": "610-869-8889",
            "fax_number": "610-869-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W BALTIMORE PIKE",
            "address_2": "SUITE 102",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "19390",
            "telephone_number": "610-869-8889",
            "fax_number": "610-869-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNERSVILLE OPEN MRI AND IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "610-869-8889",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "3688169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019122220001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennersville Family Medicine LLC
• Jennersville Hospital, LLC
• Jennersville Hospital, LLC
• Jennersville Hospital, LLC
• Jennersville Medical Associates, PC
• Jennersville Radiology, P.C
• Jennserville Obstetrics and Gynecology, LLC
• Jenny Chen Family Dentistry LLC
• Jennifer L Jines, DPT
• John H Plunkett DDS PC

• Diagnostic Radiology Physician in West Grove, PA
• Providers in West Grove, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.