Jorge Gustavo Pardes (NPI# 1457349011, PAC ID# 3971571209) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1457349011 |
| PAC ID by PECOS | 3971571209 |
| Professional Enrollment ID | I20071227000104 |
| Full Name | Jorge Gustavo Pardes |
| Organization Legal Name | LARCHMONT IMAGING ASSOCIATES LLC |
| Address |
210 Ark Rd Mount Laurel NJ 08054-3188 |
| Phone Number | 6092614500 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1976 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5193762433 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310057 | VIRTUA MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 401 Young Ave, Moorestown, NJ 08057-3130 | 6092614500 | LARCHMONT IMAGING ASSOCIATES LLC |
| 175 Madison Ave, Mount Holly, NJ 08060-2038 | 6092670700 | RADIOLOGY ASSOCIATES OF BURLINGTON COUNTY, P.A. |
| 210 Ark Rd, Mount Laurel, NJ 08054-3188 | 6092614500 | LARCHMONT IMAGING ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% |
| Organization Legal Name | LARCHMONT IMAGING ASSOCIATES LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nick Maravich | Diagnostic Radiology | Larchmont Imaging Associates LLC | 219 Sunset Rd, Willingboro, NJ 08046-1109 |
| Howard S Berinson | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Darren Andrew Bialo | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Robert Todd Harvey | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Sungtae Lim | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Kevin P Barry | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Karl Christopher Schlobohm | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Azam H Rizvi | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Barry J Livstone | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Elizabeth L Tan | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Street Address |
210 ARK RD |
| City | MOUNT LAUREL |
| State | NJ |
| Zip | 08054-3188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard S Berinson | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Marc F Goldstein | Allergy/immunology | Allergic Disease Associates PC | 210 Ark Rd, Suite 109, Mount Laurel, NJ 08054-3188 |
| Darren Andrew Bialo | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Robert Todd Harvey | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Sungtae Lim | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Kevin P Barry | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Karl Christopher Schlobohm | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Azam H Rizvi | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Barry J Livstone | Diagnostic Radiology | Larchmont Imaging Associates LLC | 210 Ark Rd, Mount Laurel, NJ 08054-3188 |
| Donald J Dvorin | Allergy/immunology | Allergic Disease Associates PC | 210 Ark Rd, Suite 109, Mount Laurel, NJ 08054-3188 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Testaiuti | Neurosurgery | Coastal Spine PC | 715 Fellowship Rd, Suite A, Mount Laurel, NJ 08054-1052 |
| Rosalie Marinari | Dermatology | Dermatology Associates of South Jersey, L.L.C. | 715 Fellowship Rd, Suite B, Mount Laurel, NJ 08054-1052 |
| Adrienne Lauren Rinaldi | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ashley M Roncone | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Addison Haskins | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Russell Abrams | Neurology | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Peter G Pryzbylkowski | Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ijeoma C Menkiti | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Kyriaki Revenidis | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Yohan Lee | Chiropractic | 3829 Church Rd, Suite B, Mount Laurel, NJ 08054-1105 | |
| Find all physicians in zip 08054 | |||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MOUNT LAUREL + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jorge Gustavo Pardes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.