Organization Active NPI

Nydic Open MRI of America-Kettering, LLC

  • Radiology Clinic/Center
  • Kettering, OH
National Provider Identifier
1841252608
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
16-97244OtherOHUNITED HEALTHCARE OF OH
175270OtherOHUNISON HEALTH PLAN
000000039115OtherOHANTHEM BCBS
8463210OtherOHAETNA
21502OtherOHMEDFOCUS
37523OtherOHNATIONWIDE HEALTH PLANS
16-97244OtherOHUHC OF OHIO
2433610MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.