Individual provider Active NPI

Matthew Lawrence Uriell, M.D.

  • Diagnostic Radiology Physician
  • Mount Holly, NJ
National Provider Identifier
1104263110
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA11947400 Issued in NJ
Practice address
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone
(609) 914-6000
NPI assigned
May 30, 2013
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD464796 PA
Diagnostic Radiology Physician 2085R0202X 125.063193 IL
Diagnostic Radiology Physician 2085R0202X 25MA11947400 NJ Primary

Addresses

Primary practice location

175 Madison Ave
Mount Holly, NJ 08060-2038

Mailing address

PO Box 748498
Atlanta, GA 30374-8498

Other practice location 1

355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-2440

Other practice location 2

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180821000023 PA Practitioner - Diagnostic Radiology 0648572537 Reassigns benefits to 1 organization
I20231204000620 NJ Practitioner - Diagnostic Radiology 0648572537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Dakota School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Larchmont Imaging AssociatesGroup PAC ID 5193762433, 54 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians

Practice addresses (Care Compare)

100 Carnie Blvd
Suite A4
Voorhees, NJ 08043-4513
Phone (888) 909-7572

100 Carnie Blvd
Suite B5
Voorhees, NJ 08043-4514
Phone (888) 909-7572

1000 Lincoln Dr E
1000 Lincoln Ctr
Marlton, NJ 08053-1566
Phone (888) 909-7572

103 Old Marlton Pike
Medford, NJ 08055-8772
Phone (609) 261-4500

105 Kings Way W
Hurffville Cross Keys Road
Sewell, NJ 08080-2233
Phone (888) 909-7572

158 Route 73
Voorhees, NJ 08043-9539
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

219 Sunset Rd
Willingboro, NJ 08046-1109
Phone (609) 261-4500

239 Hurffville Crosskeys Rd
Suite 140
Sewell, NJ 08080-4004
Phone (888) 909-7572

748 Kings Hwy
West Deptford, NJ 08096-3157
Phone (888) 909-7572

807 N Haddon Ave
Suite 5
Haddonfield, NJ 08033-1749
Phone (888) 909-7572

Hospital & facility affiliations

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
125.063193ILMDDiagnostic Radiology Physician
25MA11947400NJMDDiagnostic Radiology Physician
MD464796PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Larchmont Imaging Associates Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Southeast Radiology LTD Diagnostic Radiology CurrentSince Mar 4, 2019 Accepting new patients
Kleinert Kutz and Associates Hand Care Center PastSince Nov 10, 2019 Accepting new patients
Kleinert Kutz and Associates Hand Care Center Past Accepting new patients

Locations

700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390

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

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

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

400 Fellowship Rd
Ste 200
Mount Laurel, NJ 08054

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

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

Organizations & group practices 6

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.

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": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1104263110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748498",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602038",
            "telephone_number": "609-914-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602023328",
            "country_code": "US",
            "telephone_number": "847-316-2440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "19013",
            "country_code": "US",
            "telephone_number": "610-447-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URIELL",
        "first_name": "MATTHEW",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD464796",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125.063193",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11947400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.