Open MRI of Clifton, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

22737 Issued in NJ

Legal business name

OPEN MRI OF CLIFTON, LLC

Practice address

1117 Route 46
Suite 102
Clifton, NJ 07013-2449

Phone

(973) 470-9008

Fax

(973) 470-9671

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Allan Rice, MD

Title

Owner

Phone

(973) 470-9008

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sai Samba Krishna R. Kolla, M.D.

  • Neurology Physician
  • Jersey City, NJ
  • NPI 1750457693
  NPD (past)
• Simon B Santos Arias, MD

  • Family Medicine Physician
  • Union City, NJ
  • NPI 1497721062
  NPD (past)
• Natalio Damien Jr., MD

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
  • NPI 1629097985
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770532145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 ROUTE 46",
            "address_2": "SUITE 102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132449",
            "telephone_number": "973-470-9008",
            "fax_number": "973-470-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 ROUTE 46",
            "address_2": "SUITE 102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132449",
            "telephone_number": "973-470-9008",
            "fax_number": "973-470-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF CLIFTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-470-9008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NJ",
            "license": "22737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A764416",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1016133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1K5252",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERGROUP",
            "identifier": "37572",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0128747000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8085609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.