NPIMap

Organization Active NPI

Forest Park MRI Associates, PC

Doing business as The MRI Center of Woburn

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Woburn, MA
National Provider Identifier
1720030729
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
FOREST PARK MRI ASSOCIATES, PC
Doing business as
The MRI Center of Woburn
Practice address
800 W Cummings Park
Suite 1150
Woburn, MA 01801-6372
Phone
(781) 932-8650
Fax
(781) 932-8619
NPI assigned
May 17, 2006
Last updated
May 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Mr. Robert A Santamaria
Title
Chief Financial Officer
Phone
(781) 569-6541

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary
Radiology Clinic/Center 261QR0200X NU

Addresses

Primary practice location

800 W Cummings Park
Suite 1150
Woburn, MA 01801-6372

Mailing address

800 W Cummings Park
Suite 1350
Woburn, MA 01801-6372
Phone (781) 569-6541

Other identifiers 2

IdentifierTypeStateIssuer
110029170AMedicaidMA
0004301OtherMAMEDICARE IDTF PTAN

Other names 1

  • The MRI Center of Woburn Doing business as

National Provider Directory

National Provider Directory

Locations

258 W Cummings Park
Woburn, MA 01801
Phone (617) 932-8650

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1720030729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK",
            "address_2": "SUITE 1350",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016372",
            "telephone_number": "781-569-6541",
            "fax_number": "781-569-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK",
            "address_2": "SUITE 1150",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016372",
            "telephone_number": "781-932-8650",
            "fax_number": "781-932-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PARK MRI ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "SANTAMARIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "781-569-6541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110029170A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDTF PTAN",
            "identifier": "0004301",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The MRI Center of Woburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.