Individual provider Active NPI

Darren Bialo, M.D.

  • Diagnostic Radiology Physician
  • Hainesport, NJ
National Provider Identifier
1104186196
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA10034900 Issued in NJ
Practice address
1295 Route 38
Hainesport, NJ 08036-2702
Phone
(609) 261-4500
Fax
(215) 349-2664
NPI assigned
May 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT210191 PA
Diagnostic Radiology Physician 2085R0202X MD14397 RI
Diagnostic Radiology Physician 2085R0202X MD457815 PA
Diagnostic Radiology Physician 2085R0202X 25MA10034900 NJ Primary

Addresses

Primary practice location

1295 Route 38
Hainesport, NJ 08036-2702

Mailing address

1295 Route 38
Hainesport, NJ 08036-2702
Phone (609) 261-4500

Other practice location 1

3400 Spruce St
Hosp of the Univ of Pennsylvania, Dept of Radiology
Philadelphia, PA 19104-4238
Phone (215) 662-2832

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
I20170711000867 NJ Practitioner - Diagnostic Radiology 8921225764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Miami, LM Miller School of Medicine, 2011
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
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14397RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Larchmont Imaging Associates Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Bryn Mawr Imaging Diagnostic Radiology Past Accepting new patients
Main Line Health Imaging LP PastSince Jun 1, 2016 Accepting new patients

Locations

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

1295 Route 38
Hainesport, NJ 08036
Phone (609) 261-7017

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

400 Fellowship Rd
Ste 200
Mount Laurel, NJ 08054

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

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

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

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

Organizations & group practices 5

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 6

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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104186196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 ROUTE 38",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362702",
            "telephone_number": "609-261-4500",
            "fax_number": "215-349-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 ROUTE 38",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362702",
            "telephone_number": "609-261-4500",
            "fax_number": "215-349-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St",
            "address_2": "Hosp of the Univ of Pennsylvania, Dept of Radiology",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044238",
            "country_code": "US",
            "telephone_number": "215-662-2832",
            "fax_number": "215-349-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIALO",
        "first_name": "DARREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT210191",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD14397",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD457815",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA10034900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

Verify at the official NPI Registry.