Advanced Diagnostic Imaging of New Jersey Inc

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

ADVANCED DIAGNOSTIC IMAGING OF NEW JERSEY INC

Doing business as

Open MRI 17

Practice address

34 N Rte 17
Paramus, NJ 07652-2727

Phone

(973) 349-0447

NPI assigned

May 11, 2023

Last updated

May 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fahad Siddiqui

Title

Manager

Phone

(973) 349-0447

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OPEN MRI 17 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1881384865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N RTE 17",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522727",
            "telephone_number": "973-349-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N RTE 17",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522727",
            "telephone_number": "973-349-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC IMAGING OF NEW JERSEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "FAHAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-349-0447"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULATORY CARE FACILITY LICENSE",
            "identifier": "22548",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPEN MRI 17",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.