Provider Demographics
NPI:1528399201
Name:NEW JERSEY MRI SYSTEMS
Entity Type:Organization
Organization Name:NEW JERSEY MRI SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-357-9900
Mailing Address - Street 1:PO BOX 6440
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-0440
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:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ23276261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service