Individual provider Active NPI

Andrew Loesberg, M.D.

  • Vascular & Interventional Radiology Physician
  • Annandale, NJ
National Provider Identifier
1063487726
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA07062000 Issued in NJ
Practice address
1 Dogwood Drive
Annandale, NJ 08801
Phone
(908) 735-4477
Fax
(908) 735-6532
NPI assigned
Feb 17, 2006
Last updated
Sep 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA0706200 NJ
Vascular & Interventional Radiology Physician 2085R0204X 25MA07062000 NJ Primary

Addresses

Primary practice location

1 Dogwood Drive
Annandale, NJ 08801

Mailing address

P.O. Box 5388
Clinton, NJ 08809
Phone (908) 735-4477

Other identifiers 1

IdentifierTypeStateIssuer
8346704MedicaidNJ

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
I20050819000677 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1153351028 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA0706200NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Ambulatory Services LLC CurrentSince Sep 1, 2018 Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Rwjuh Imaging at Plum Street, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Jersey Shore Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients

Locations

1121 Route 22
Ste 103
Bridgewater, NJ 08807
Phone (908) 237-4001

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

2100 Wescott Dr
Fl 2
Flemington, NJ 08822
Phone (908) 788-6100

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1063487726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5388",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "08809",
            "telephone_number": "908-735-4477",
            "fax_number": "908-735-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DOGWOOD DRIVE",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "08801",
            "telephone_number": "908-735-4477",
            "fax_number": "908-735-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOESBERG",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA0706200",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA07062000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8346704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, NJ

Sources for this page

Verify at the official NPI Registry.