Provider Demographics
NPI:1770532145
Name:OPEN MRI OF CLIFTON, LLC
Entity type:Organization
Organization Name:OPEN MRI OF CLIFTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-470-9008
Mailing Address - Street 1:1117 ROUTE 46
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2449
Mailing Address - Country:US
Mailing Address - Phone:973-470-9008
Mailing Address - Fax:973-470-9671
Practice Address - Street 1:1117 ROUTE 46
Practice Address - Street 2:SUITE 102
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2449
Practice Address - Country:US
Practice Address - Phone:973-470-9008
Practice Address - Fax:973-470-9671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22737261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
A764416OtherOXFORD
1016133OtherAETNA
1K5252OtherHEALTHNET
37572OtherAMERGROUP
0128747000OtherAMERIHEALTH
NJ8085609Medicaid
A764416OtherOXFORD