Ralph Dauito, MD
Individual provider Active NPI Diagnostic Radiology Physician · Absecon, NJ
NPI 1073562872 · NPPES record last updated Dec 17, 2018
Key facts
- NPI
- 1073562872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 25MA05144800 (NJ)
- Practice address
- 434 New Jersey Ave
Absecon, NJ 08201-2423 - Phone
- (856) 466-3399
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Georgetown University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercer Diagnostic Imaging, LLC
Practice addresses (Care Compare)
1245 Whitehorse Mercerville Rd
Suite 403
Hamilton, NJ 08619-3831
Phone (609) 581-2727
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040831000581 | NJ | Practitioner - Diagnostic Radiology | 6305820648 | Reassigns benefits to 2 organizations |
| I20110304000641 | NY | Practitioner - Diagnostic Radiology | 6305820648 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Wide Health Facility, Inc. | Current |
Accepting new patients | |
| Middle Village Diagnostic Imaging PC | Diagnostic Radiology | Current |
Accepting new patients |
| Burlington Diagnostic Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Mercer Diagnostic Imaging, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University Imaging Center, LLC | Past |
Accepting new patients | |
| Garden State MRI Corp | Diagnostic Radiology | Past |
Accepting new patients |
| Innovative Medical Diagnostic Care, PC | Past | Accepting new patients | |
| Kelly Medical Services Corporation LLC | Diagnostic Radiology | Past | Accepting new patients |
| Kessler Cat Scan Associates | Past | Accepting new patients | |
| Roseland Medical Imaging PA | Past |
Accepting new patients |
Locations
2800 Route 130 N
Ste 202
Cinnaminson, NJ 08077
Phone (856) 210-7666
1801 New Rd
#A
Linwood, NJ 08221
Phone (609) 788-0601
1245 Whitehorse Mercerville Rd
Ste 403
Trenton, NJ 08619
Phone (609) 581-2727
6817 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 236-6800
6243 Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 507-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA05144800 | NJ | Yes |
Addresses
Primary practice location
434 New Jersey Ave
Absecon, NJ 08201-2423
Mailing address
1690 Whispering Woods Way
Vineland, NJ 08361-8602
Phone (856) 466-3399
Other practice location 1
175 Cross Keys Rd
Ste 300a
Berlin, NJ 08009-9263
Phone (856) 390-0600 ext. 450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528301 | Medicaid | NJ |
Other providers in Absecon, NJ
- Community Quest, Inc.
- Community Radiology, P.a.
- Mikaela Marie Crowley
- Paula D'Angelo
- Dana Licsw LLC
- Christine Deviney
- Diamond Scooters Inc.
- Diego M Fiorentino DO Facp LLC
- Jennifer Doorly
- Doshi Diagnostic Imaging of New Jersey PC
All providers in Absecon, NJ · Diagnostic Radiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.