# ADVANCED OPEN MRI OF WEST HUDSON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134919699
- **Authorized official:** GOHAR AYUB (CREDENTIALING MANAGER)
- **Authorized official phone:** (551) 300-2838

## Contact information

- **Practice address:** 725 ELM ST, KEARNY, NJ 07032-3805
- **Practice address phone:** (201) 997-7300
- **Mailing address:** 725 ELM ST, KEARNY, NJ 07032-3805
- **Mailing address phone:** (201) 285-2372
- **Mailing address fax:** (201) 409-7717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2025
- **Last updated:** 10/08/2026