Magnetic Imaging of Morris P.a.
Organization Active NPI Radiology Clinic/Center · MTN Lakes, NJ
NPI 1962499772 · NPPES record last updated Nov 22, 2011
Key facts
- NPI
- 1962499772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- License
- 23244 (NJ)
- Legal business name
- MAGNETIC IMAGING OF MORRIS P.A.
- Practice address
- 420 Blvd
Suite 103
MTN Lakes, NJ 07046 - Phone
- (973) 402-9111
- Fax
- (973) 402-7620
- NPI assigned
- Oct 6, 2005
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Dunn
- Title
- Manager
- Phone
- (973) 402-9111
Practitioners 9
-
Douglas C Boxer, MD
-
Richard Claps, M.D.
-
Francis L Diaz, MD
-
Michael Henderson, M.D.
-
Steven T Lee, M.D.
-
Pak-Kan Albert Lo, M.D.
-
Burton Sutker, M.D.
-
Richard Taylor, M.D.
-
Shantha Waran, M.D.
National Provider Directory
Locations
420 Boulevard
Ste 103
Mountain Lks, NJ 07046
Phone (973) 263-8282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | 23244 | NJ | |
| Radiology Clinic/Center | 261QR0200X | 23244 | NJ | Yes |
Addresses
Primary practice location
420 Blvd
Suite 103
MTN Lakes, NJ 07046
Mailing address
420 Blvd
Suite 103
MTN Lakes, NJ 07046
Phone (973) 402-9111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3361306 | Medicaid | NJ |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.