Atlantic Open MRI, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

22368 Issued in NJ

Legal business name

ATLANTIC OPEN MRI, LLC

Doing business as

Atlantic Diagnostics, LLC

Practice address

766 Shrewsbury Ave
Tinton Falls, NJ 07724-3001

Phone

(732) 530-8989

Fax

(732) 530-0420

NPI assigned

Dec 29, 2006

Last updated

Feb 28, 2008By 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

Dr. Douglas T Gibbens, M.D.

Title

Medical Director

Phone

(732) 530-8989

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Atlantic Diagnostics, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Norman Y Schoenberg, M.D.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1144317793
  NPD

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1700942208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243001",
            "telephone_number": "732-530-8989",
            "fax_number": "732-530-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243001",
            "telephone_number": "732-530-8989",
            "fax_number": "732-530-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "GIBBENS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-530-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "22368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PIN#",
            "identifier": "2K6430",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE PIN#",
            "identifier": "1839680",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8211302",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ HORIZON MERCY PIN#",
            "identifier": "1130240V",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PIN#",
            "identifier": "2098369000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PIN#",
            "identifier": "4103497",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN#",
            "identifier": "28090922",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PIN#",
            "identifier": "A959624",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Diagnostics, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melinda Applegate
• Dalilah Arenas
• Ark Homecare Inc
• Association for the Multiple Impaired Blind, Inc. (Amib)
• Burak Ates
• Hayder Asaad Azeez, MD
• Harry A Bade III, MD
• Stephen Alexander Bade, D.P.T.
• Neha Hemantkumar Badheka, M.D.
• Pamela R Baechler

• Radiology Clinic/Center in Tinton Falls, NJ
• Providers in Tinton Falls, 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 Feb 28, 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.