Organization Active NPI

Chatham Medical Resources, Inc.

Doing business as Tri County Open MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • East Hanover, NJ
National Provider Identifier
1871665141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
22406 Issued in NJ
Legal business name
CHATHAM MEDICAL RESOURCES, INC.
Doing business as
Tri County Open MRI
Practice address
188 Route 10 W
East Hanover, NJ 07936
Phone
(973) 884-8881
Fax
(973) 884-8893
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jacqueline Mayer
Title
VP, Managed Care & Credentialing
Phone
(631) 952-5717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 22406 NJ Primary

Addresses

Primary practice location

188 Route 10 W
East Hanover, NJ 07936

Mailing address

PO Box 12417
Hauppauge, NY 11788-0513
Phone (973) 884-8881

Other identifiers 1

IdentifierTypeStateIssuer
3338401MedicaidNJ

Other names 1

  • Tri County Open MRI Doing business as

National Provider Directory

National Provider Directory

Locations

188 State Route 10
East Hanover, NJ 07936
Phone (973) 884-8881

Practitioners & affiliated clinicians

Practitioners 2

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871665141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12417",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880513",
            "telephone_number": "973-884-8881",
            "fax_number": "973-884-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 ROUTE 10 W",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "07936",
            "telephone_number": "973-884-8881",
            "fax_number": "973-884-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM MEDICAL RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "VP, MANAGED CARE & CREDENTIALING",
        "authorized_official_telephone_number": "631-952-5717"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NJ",
            "license": "22406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3338401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri County Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hanover, NJ

Sources for this page

  • 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.