Individual provider Active NPI

Jan Bernard Sajous

  • Diagnostic Radiology Physician
  • West Deptford, NJ
National Provider Identifier
1053597294
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA08550100 Issued in NJ
Practice address
748 Kings Hwy
West Deptford, NJ 08096-3157
Phone
(856) 848-4998
Fax
(856) 686-7344
NPI assigned
Jan 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA08550100 NJ Primary

Addresses

Primary practice location

748 Kings Hwy
West Deptford, NJ 08096-3157

Mailing address

1307 White Horse Rd
Suite a-102
Voorhees, NJ 08043-2176
Phone (856) 374-4031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090529000097 NJ Practitioner - Diagnostic Radiology 5890868921 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians
Larchmont Imaging AssociatesGroup PAC ID 5193762433, 54 clinicians

Practice addresses (Care Compare)

100 Carnie Blvd
Suite A4
Voorhees, NJ 08043-4513
Phone (888) 909-7572

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 267-0700

210 Ark Rd
Mount Laurel, NJ 08054-3188
Phone (609) 261-4500

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.17 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Larchmont Imaging Associates Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology Past Accepting new patients
Booth Radiology Associates PA Diagnostic Radiology Past Accepting new patients
Radiology Associates of Main Street PC Diagnostic Radiology PastSince Sep 25, 2018 Accepting new patients

Locations

315 Route 70 E
Ste B
Cherry Hill, NJ 08034
Phone (856) 375-6240

401 Young Ave
Moorestown, NJ 08057
Phone (609) 261-4500

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

210 Ark Rd
Mount Laurel, NJ 08054
Phone (609) 261-4500

100 Carnie Blvd
Ste A4
Voorhees, NJ 08043
Phone (856) 751-0123

1307 White Horse Rd
Ste A102
Voorhees, NJ 08043
Phone (856) 374-4031

100 Carnie Blvd
Ste B5
Voorhees, NJ 08043
Phone (856) 751-0123

748 Kings Hwy
West Deptford, NJ 08096
Phone (856) 848-4998

52 W Red Bank Ave
Ste 19
Woodbury, NJ 08096
Phone (856) 686-7290

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1053597294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WHITE HORSE RD",
            "address_2": "SUITE A-102",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432176",
            "telephone_number": "856-374-4031",
            "fax_number": "856-754-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 KINGS HWY",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963157",
            "telephone_number": "856-848-4998",
            "fax_number": "856-686-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJOUS",
        "first_name": "JAN",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08550100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

Verify at the official NPI Registry.