MEDICARE: HUDSON MRI PA

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
1	261QR0200X	Radiology Clinic/Center
2	261Q00000X	Clinic/Center	80320	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	2N109	OTHER	NJ	MEDICARE
9	2N1092	OTHER	NJ	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1013442	OTHER	HORIZAN NJ HEALTH
2	HU000002600	OTHER	AMERICHOICE
3	470001913	OTHER	PALMETTO GBA
4	0008618	OTHER	GHI
5	A678164	OTHER	OXFORD
6	XK5488	OTHER	HEALTHNET OF NE
8	0788531000	OTHER	AMERIHEALTH HMO
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	43021	OTHER	AETNA
12	21940	OTHER	UNIVERSITY HEALTH PLAN
13	W4R521	OTHER	WELLCHOICE

General Provider Information

NPI Number	:	1396774246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUDSON MRI PA

Provider Business Mailing Address
First Line	:	2811 KENNEDY BLVD
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-2227
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2811 KENNEDY BLVD
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-2227
Country	:	US
Telephone Number	:	201-659-1177
Fax Number	:

Authorized Official
Title or Position	:	OWNER /CEO
Name	:	ABDUL FETOUH EL SAYED
Credential	:
Telephone Number	:	201-647-3319

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	06/13/2023

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Directions to “HUDSON MRI PA ” Practice Location

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