NPIMap

Organization Active NPI

New Jersey Diagnostic Imaging & Therapy, PA

Doing business as Monmouth Ocean Open MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Brick, NJ
National Provider Identifier
1881765659
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
22234 Issued in NJ
Legal business name
NEW JERSEY DIAGNOSTIC IMAGING & THERAPY, PA
Doing business as
Monmouth Ocean Open MRI
Practice address
198 Jack Martin Blvd
A-3
Brick, NJ 08724-7769
Phone
(732) 840-8300
Fax
(732) 840-6453
NPI assigned
Nov 13, 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 22234 NJ Primary

Addresses

Primary practice location

198 Jack Martin Blvd
A-3
Brick, NJ 08724-7769

Mailing address

PO Box 14068
Hauppauge, NY 11788-0789
Phone (732) 840-8300

Other identifiers 1

IdentifierTypeStateIssuer
3387704MedicaidNJ

Other names 1

  • Monmouth Ocean Open MRI Doing business as

National Provider Directory

National Provider Directory

Locations

198 Jack Martin Blvd
#A3
Brick, NJ 08724
Phone (732) 840-8300

Practitioners & affiliated clinicians

Practitioners 3

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881765659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14068",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880789",
            "telephone_number": "732-840-8300",
            "fax_number": "732-840-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 JACK MARTIN BLVD",
            "address_2": "A-3",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247769",
            "telephone_number": "732-840-8300",
            "fax_number": "732-840-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY DIAGNOSTIC IMAGING & THERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "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": "22234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3387704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monmouth Ocean Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brick, 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.