ADVANCED RADIOLOGY OF CHERRY HILL PA


Address: 13 W Ormond Avenue, Cherry Hill, NJ 08002
Phone: 8566169400

ADVANCED RADIOLOGY OF CHERRY HILL PA (NPI# 1578536942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578536942
Entity Type Organization
Organization Name ADVANCED RADIOLOGY OF CHERRY HILL PA
Practice Address 13 W Ormond Avenue
Cherry Hill
NJ 08002
Mailing Address Po Box 2300
So Vineland
NJ 08362-2300
Practice Telephone 8566169400
Practice Fax Number 8566169107
Mailing Telephone 8566919630
Mailing Fax Number 8566912684
Enumeration Date 2006-02-08
Last Update Date 2020-08-22
Authorized Official Name MR. FAZLOLLAH GOLESTANEH (PRESIDENT)
Authorized Official Telephone 8566169400
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
25MA03109900 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 2323206 05

Office Location

Street Address 13 W ORMOND AVENUE
City CHERRY HILL
State NJ
Zip Code 08002

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1649878547 Rachel J Crutchley Behavioral Analyst 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 2020-10-13
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1104483825 Advocare, LLC Specialist 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 2019-05-29
1881155299 Tyesha Thomas Counselor 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 2019-03-28
1982184479 Brian Keith Smalls Jr. Early Intervention Provider Agency 1701 Bishop View Circle, Cherry Hill, NJ 08002 2018-08-15
1124510094 Salvatore Montana Messina Student in an Organized Health Care Education/Training Program 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 2018-06-05
1871010397 Jocelyn Lea Daigle Counselor 2201 Chapel Avenue W, Cherry Hill, NJ 08002 2017-08-25
1225559495 Kennedy Medical Group Practice P.C. Dietitian, Registered 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 2017-06-28
1245750926 Casey Rich Behavioral Analyst 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 2017-06-22
1790211514 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11 Nevada Ave, Cherry Hill, NJ 08002 2017-05-11
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023484896 Subspecialty Radiology Inc Radiology 18 Galloping Hill Rd, Cherry Hill, NJ 08003-5150 2015-08-17
1205140373 Benjamin Karlberg Radiology 2103 Bishops View Cir, Cherry Hill, NJ 08002-3443 2010-08-02
1427221241 Rose Anne Metzger Radiology 24 Partridge Ln, Cherry Hill, NJ 08003-1947 2008-04-13
1841468923 Sherman Martin Bannett Radiology 1815 E Fireside Ct, Cherry Hill, NJ 08003-3243 2008-02-12
1760693436 Eugene Cohen Radiology 836 Kings Croft, Cherry Hill, NJ 08034-1111 2007-05-24
1396830865 Theodore Mckinley Johnston Jr. Radiology 112 Pearlcroft Rd., Cherry Hill, NJ 08034-3334 2006-10-03
1083710602 Springdale Radiology, LLC Radiology 2051 Springdale Rd, Cherry Hill, NJ 08003-1603 2006-09-15
1801835137 Carol Ellen Kaplan Radiology 1009 Swallow Dr, Cherry Hill, NJ 08003-2805 2006-06-05
1801898291 Gary P. Romisher Radiology 511 Gatewood Rd, Cherry Hill, NJ 08003-3231 2005-08-15
1932108156 Joseph J. Delaurentis Radiology 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 2005-07-19
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City CHERRY HILL
Zip Code 08002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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