Provider Demographics
NPI:1306881255
Name:ORANGE COMMUNITY MRI
Entity type:Organization
Organization Name:ORANGE COMMUNITY MRI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:BABARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-672-2000
Mailing Address - Street 1:345 HENRY ST
Mailing Address - Street 2:SUITE #102
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-2500
Mailing Address - Country:US
Mailing Address - Phone:973-672-2000
Mailing Address - Fax:973-672-2011
Practice Address - Street 1:345 HENRY ST
Practice Address - Street 2:SUITE #102
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-2500
Practice Address - Country:US
Practice Address - Phone:973-672-2000
Practice Address - Fax:973-672-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA481112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2451506Medicaid
NJ2451506Medicaid
NJ471257Medicare ID - Type Unspecified