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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- License
- 22406
- 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, 2020
- 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
- Jacqueline Mayer
- Title
- VP, Managed Care & Credentialing
- Phone
- (631) 952-5717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3338401 | Medicaid | NJ |
Other names 1
- Tri County Open MRI
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Chatham, NJ
- NPI 1104852151
-
- Diagnostic Radiology Physician
- Chatham, NJ
- NPI 1346202009
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.