Active NPI
Nydic Open MRI of America-Kettering, LLC
- Radiology Clinic/Center
- Kettering, OH
National Provider Identifier
1841252608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- NYDIC OPEN MRI OF AMERICA-KETTERING, LLC
- Practice address
- 580 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-3474 - Phone
- (937) 298-3510
- Fax
- (937) 298-4231
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lawrence M. Buchwalter
- Title
- Ceo
- Phone
- (201) 573-8080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | 0839IC | OH | |
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
580 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-3474
Mailing address
100 Paragon Dr
Suite 200
Montvale, NJ 07645-1718
Phone (201) 573-8080
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16-97244 | Other | OH | UNITED HEALTHCARE OF OH |
| 175270 | Other | OH | UNISON HEALTH PLAN |
| 000000039115 | Other | OH | ANTHEM BCBS |
| 8463210 | Other | OH | AETNA |
| 21502 | Other | OH | MEDFOCUS |
| 37523 | Other | OH | NATIONWIDE HEALTH PLANS |
| 16-97244 | Other | OH | UHC OF OHIO |
| 2433610 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
580 Lincoln Park Blvd
Kettering, OH 45429
Phone (937) 298-3510
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1598731127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1841252608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARAGON DR",
"address_2": "SUITE 200",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451718",
"telephone_number": "201-573-8080",
"fax_number": "201-775-4306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 LINCOLN PARK BLVD",
"address_2": "SUITE 100",
"city": "KETTERING",
"state": "OH",
"postal_code": "454293474",
"telephone_number": "937-298-3510",
"fax_number": "937-298-4231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYDIC OPEN MRI OF AMERICA-KETTERING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "OH",
"license": "0839IC",
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF OH",
"identifier": "16-97244",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN",
"identifier": "175270",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000039115",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "8463210",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDFOCUS",
"identifier": "21502",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE HEALTH PLANS",
"identifier": "37523",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC OF OHIO",
"identifier": "16-97244",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2433610",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- 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.