MEDICARE: ADVANCED OPEN MRI OF WEST HUDSON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QR0200X	Radiology Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center
3	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1134919699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED OPEN MRI OF WEST HUDSON

Provider Business Mailing Address
First Line	:	725 ELM ST
Second Line	:
City	:	KEARNY
State	:	NJ
Zip	:	07032-3805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 ELM ST
Second Line	:
City	:	KEARNY
State	:	NJ
Zip	:	07032-3805
Country	:	US
Telephone Number	:	201-997-7300
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SAIFULLA K CHAUDHARY
Credential	:
Telephone Number	:	973-262-2909

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	11/19/2025

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