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OMIC INC NPI 1639285919


NPI Information

NPI: 1639285919
Provider Name: OMIC INC

Former Legal Business Name: MAGNETIC RESONANCE OF NEW JERSEY, PA

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
550 KINDERKAMACK RD
ORADELL, NJ
ZIP 07649
Phone: (201) 599-8100
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OMIC INC is a radiology clinic center in Oradell, NJ. OMIC INC NPI is 1639285919. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Magnetic Resonance Of New Jersey, Pa.

The provider's business location address is:

550 KINDERKAMACK RD
ORADELL, NJ
ZIP 07649-500
Phone: (201) 599-8100
Fax: (201) 599-8480

The provider's authorized official is Yaldar T Taher .
The authorized official title is Director and has the following contact phone number (973) 652-8595.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 9/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiology22785 & 22787NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17610602MEDICAIDNEW JERSEY
2015488MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYDIAG. RADIOLOGY GROUP ID#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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