| Hudson Mri Pa | |
|
2811 Kennedy Blvd North Bergen NJ 07047-2227 | |
| (201) 659-1177 | |
| Not Available |
| Full Name | Hudson Mri Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2811 Kennedy Blvd, North Bergen, New Jersey |
| Authorized Official Name and Position | Abdul Fetouh El Sayed (OWNER /CEO) |
| Authorized Official Contact | 2016473319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Mri Pa 2811 Kennedy Blvd North Bergen NJ 07047-2227 Ph: () - | Hudson Mri Pa 2811 Kennedy Blvd North Bergen NJ 07047-2227 Ph: (201) 659-1177 |
| NPI Number | 1396774246 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 06/13/2023 |
| Medicare PECOS PAC ID | 3375636129 |
|---|---|
| Medicare Enrollment ID | O20151130000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396774246 | NPI | - | NPPES |
| 1013442 | Other | HORIZAN NJ HEALTH | |
| HU000002600 | Other | AMERICHOICE | |
| 470001913 | Other | PALMETTO GBA | |
| 0008618 | Other | GHI | |
| A678164 | Other | OXFORD | |
| XK5488 | Other | HEALTHNET OF NE | |
| 2N109 | Other | NJ | MEDICARE |
| 0788531000 | Other | AMERIHEALTH HMO | |
| 2N1092 | Other | NJ | MEDICARE |
| 3327400 | Medicaid | NJ | |
| 43021 | Other | AETNA | |
| 21940 | Other | UNIVERSITY HEALTH PLAN | |
| W4R521 | Other | WELLCHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 80320 (New Jersey) | Primary |
| 261QR0200X | Clinic/center - Radiology | (* (Not Available)) | Secondary |
| Provider Name | Feng Tao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285621748 PECOS PAC ID: 2961433099 Enrollment ID: I20050829000149 |
| Provider Name | Joseph Izzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760480586 PECOS PAC ID: 3274522644 Enrollment ID: I20210723002648 |
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