Organization Active NPI

BTD Radiology at Salem PA

  • Body Imaging Physician
  • Salem, NJ
National Provider Identifier
1073568309
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
BTD RADIOLOGY AT SALEM PA
Practice address
310 Woodstown Rd
Salem, NJ 08079
Phone
(856) 339-6054
Fax
(856) 935-4970
NPI assigned
May 24, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Dr. Kevin J Byrne, MDNPI 1205821675
Title
President
Phone
(856) 339-6054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X Primary

Addresses

Primary practice location

310 Woodstown Rd
Salem, NJ 08079

Mailing address

PO Box 11028
Lancaster, PA 17605
Phone (717) 293-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230505001332 PA Part B Supplier - Clinic/Group Practice 0244240067 Receives reassigned benefits from 7 practitioners
Practice locations: Ambler, PA; Blue Bell, PA; Bryn Mawr, PA; Philadelphia, PA; Villanova, PA; Wynnewood, PA

National Provider Directory

National Provider Directory

Locations

Btd Radiology At Salem Pa
Newark, DE 19718

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1073568309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11028",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17605",
            "telephone_number": "717-293-3223",
            "fax_number": "717-390-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WOODSTOWN RD",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "08079",
            "telephone_number": "856-339-6054",
            "fax_number": "856-935-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTD RADIOLOGY AT SALEM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-339-6054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.