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 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 06/13/2023 |
Medicare PECOS PAC ID | 3375636129 |
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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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