Active NPI
Andrew Loesberg, M.D.
- Vascular & Interventional Radiology Physician
- Annandale, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 25MA07062000
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8346704 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.93 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA0706200 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunterdon Ambulatory Services LLC | Current | Accepting new patients | |
| University Radiology at Trinitas, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Radiology-Atlantic, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jersey Shore Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Rwjuh Imaging at Plum Street, LLC | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Neptune, NJ
- NPI 1538304019
-
- Diagnostic Radiology Physician
- New Brunswick, NJ
- NPI 1710131677
-
- Radiology Clinic/Center
- Elizabeth, NJ
- NPI 1366526279
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Tinton Falls, NJ
- NPI 1477802064
-
- Diagnostic Radiology Physician
- East Brunswick, NJ
- NPI 1154367803
-
dba Hunterdon Advanced Imaging at Bridgewater
- Radiology Clinic/Center
- Bridgewater, NJ
- NPI 1184149031
-
- Diagnostic Radiology Physician
- Neptune, NJ
- NPI 1528063674
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.