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Organization
NYDIC OPEN MRI OF AMERICA-MAHWAH VALLEY, LLC
Active
Organization
NYDIC OPEN MRI OF AMERICA-MAHWAH VALLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE M. BUCHWALTER (CEO)
(201) 573-8080
Entity
Organization
Contact information
Practice address
400 FRANKLIN TPKE, SUITE B, MAHWAH, NJ 07430-3516
(201) 760-9500
(201) 760-0295
Mailing address
100 PARAGON DR, SUITE 200, MONTVALE, NJ 07645-1718
(201) 573-8080
(201) 775-4306
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
22517
NJ
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1078395
FIRST HEALTH NETWORK
NJ
01
—
1440067
UNITED HEALTHCARE OF NJ
NJ
01
—
22160
MEDFOCUS
NJ
01
—
22911
UNIVERSITY HEALTH PLAN
NJ
01
—
2819104
AETNA HMO
NJ
01
—
2K1317
HEALTHNET
NJ
01
—
3082416
CIGNA PPO
NJ
01
—
37574
AMERICAID AMERIGROUP
NJ
01
—
4196850
GHI
NJ
01
—
5922493
AETNA NON-HMO
NJ
05
—
7419309
—
NJ
01
—
A463305
OXFORD
NJ
01
—
WS5721
WELLCHOICE
NJ
Enumeration date
04/05/2006
Last updated
09/11/2025
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