Provider Demographics
NPI:1508168444
Name:NEW JERSEY MRI NETWORK, LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:NEW JERSEY MRI NETWORK, LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOSSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-357-9900
Mailing Address - Street 1:PO BOX 6437
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-0437
Mailing Address - Country:US
Mailing Address - Phone:973-357-9900
Mailing Address - Fax:973-357-9979
Practice Address - Street 1:583 BROADWAY
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514-2517
Practice Address - Country:US
Practice Address - Phone:973-357-9900
Practice Address - Fax:973-357-9979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)