Organization
HUDSON MRI PA
Active
Other names
Hudson MRI PA
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL FETOUH EL SAYED (OWNER /CEO)
(201) 647-3319
Entity
Organization
Contact information
Practice address
2811 KENNEDY BLVD, NORTH BERGEN, NJ 07047-2227
(201) 659-1177
Mailing address
2811 KENNEDY BLVD, NORTH BERGEN, NJ 07047-2227
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
80320
NJ
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008618
GHI
—
01
—
0788531000
AMERIHEALTH HMO
—
01
—
1013442
HORIZAN NJ HEALTH
—
01
—
21940
UNIVERSITY HEALTH PLAN
—
01
—
2N109
MEDICARE
NJ
01
—
2N1092
MEDICARE
NJ
05
—
3327400
—
NJ
01
—
43021
AETNA
—
01
—
470001913
PALMETTO GBA
—
01
—
A678164
OXFORD
—
01
—
HU000002600
AMERICHOICE
—
01
—
W4R521
WELLCHOICE
—
01
—
XK5488
HEALTHNET OF NE
—
Enumeration date
07/02/2006
Last updated
06/13/2023
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