MANAHAWKIN OPEN MRI – NPI #1578569679
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

MANAHAWKIN OPEN MRI is a radiologist located in MANAHAWKIN, NJ. NPPES has assigned the NPI number 1578569679 to MANAHAWKIN OPEN MRI on June 23, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MANAHAWKIN OPEN MRI” is a dba name, the actual legal business name for this organization is TRISTATE IMAGING CONSULTANTS, LLC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 17 years ago on Feb 10, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MANAHAWKIN OPEN MRI below.

NPI Profile for
TRISTATE IMAGING CONSULTANTS, LLC

NPI Number
1578569679
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRISTATE IMAGING CONSULTANTS, LLC
Doing Business As (dba): MANAHAWKIN OPEN MRI
Primary location
1322 ROUTE 72 W
MANAHAWKIN, NJ 08050-2489
Phone: (609) 978-7900 Fax: (609) 978-7544
Mailing address
PO BOX 827275
PHILADELPHIA, PA 19182-7275
Phone: (215) 663-5910 Fax: (215) 663-2451
Organization Subpart
No
Authorized Official
MIKE CARR
PRESIDENT
Phone: (215) 663-5910
Updated
Identifiers

Identifiers for MANAHAWKIN OPEN MRI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ8488207
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.