NPIMap

Organization Active NPI

Open M.R.I of Chestnut Hill, L.L.C.

Doing business as Chestnut Hill Open M.R.I.

  • Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1912929126
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OPEN M.R.I OF CHESTNUT HILL, L.L.C.
Doing business as
Chestnut Hill Open M.R.I.
Chestnut Hill Open MRI
Practice address
7713 Crittenden Street
Philadelphia, PA 19118-4407
Phone
(215) 248-1200
Fax
(215) 248-5070
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Mr. Bruce E. Miller
Title
Owner
Phone
(215) 248-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7713 Crittenden Street
Philadelphia, PA 19118-4407

Mailing address

7713 Crittenden St
Philadelphia, PA 19118
Phone (215) 248-1200

Other names 2

  • Chestnut Hill Open M.R.I. Doing business as
  • Chestnut Hill Open MRI Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000528 PA Part B Supplier - Clinic/Group Practice 3971570714 Receives reassigned benefits from 11 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

7600 W Chester Pike
Ste 1B
Upper Darby, PA 19082
Phone (610) 259-3200

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1912929126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7713 CRITTENDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19118",
            "telephone_number": "215-248-1200",
            "fax_number": "215-248-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7713 CRITTENDEN STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191184407",
            "telephone_number": "215-248-1200",
            "fax_number": "215-248-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN M.R.I OF CHESTNUT HILL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-248-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Hill Open M.R.I.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chestnut Hill Open M.R.I.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chestnut Hill Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.