Organization Active NPI

Beaches Open MRI of Boynton Beach LLC

Doing business as MRI Specialists

  • Specialist
  • Boynton Beach, FL
National Provider Identifier
1871596015
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2543 Issued in FL
Legal business name
BEACHES OPEN MRI OF BOYNTON BEACH LLC
Doing business as
MRI Specialists
Practice address
1700 W Woolbright Rd
Ste 3
Boynton Beach, FL 33426-6346
Phone
(561) 732-3909
Fax
(561) 732-2966
NPI assigned
May 23, 2005
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Dr. Richard L Bajakian, MDNPI 1730137670
Title
President
Phone
(561) 732-3909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2543 FL Primary

Addresses

Primary practice location

1700 W Woolbright Rd
Ste 3
Boynton Beach, FL 33426-6346

Mailing address

1700 W Woolbright Rd
Ste 3
Boynton Beach, FL 33426-6346
Phone (561) 732-3909

Other identifiers 1

IdentifierTypeStateIssuer
264695100MedicaidFL

Other names 1

  • MRI Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001549 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7810888625 Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1871596015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W WOOLBRIGHT RD",
            "address_2": "STE 3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266346",
            "telephone_number": "561-732-3909",
            "fax_number": "561-732-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W WOOLBRIGHT RD",
            "address_2": "STE 3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266346",
            "telephone_number": "561-732-3909",
            "fax_number": "561-732-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES OPEN MRI OF BOYNTON BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "BAJAKIAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-732-3909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "2543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264695100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.