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NPI Code Detail

MEDICARE: ADVANCED MAGNETIC IMAGING

MEDICARE: ADVANCED MAGNETIC IMAGING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center
2261QS1200XSleep Disorder Diagnostic Clinic/Center
3261QR0200XRadiology Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
122788OTHERNJAMBULATORY CARE FACILITY

General Provider Information

NPI Number : 1083234249
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED MAGNETIC IMAGING
Provider Business Mailing Address
First Line : 6414 BERGENLINE AVE
Second Line :
City : WEST NEW YORK
State : NJ
Zip : 07093-1621
Country : US
Telephone Number : 201-295-1099
Fax Number : 201-295-1035
Provider Business Practice Location Address
First Line : 6416 BERGENLINE AVE
Second Line :
City : WEST NEW YORK
State : NJ
Zip : 07093-1621
Country : US
Telephone Number : 201-295-1099
Fax Number : 201-295-1035
Authorized Official
Title or Position : CEO
Name : SAIFULLA K CHAUDHARY
Credential :
Telephone Number : 973-262-2909
Provider Enumeration Date : 04/17/2020
Last Update Date : 12/23/2020

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Directions to “ADVANCED MAGNETIC IMAGING ” Practice Location

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