NPIMap

Individual provider Active NPI

Neil A Roach, MD

  • Diagnostic Radiology Physician
  • Haddon Heights, NJ
National Provider Identifier
1114955259
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA05227300 Issued in NJ
Practice address
17 White Horse Pike
Ste 9
Haddon Heights, NJ 08035-1299
Phone
(856) 546-1177
Fax
(856) 546-0666
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD052730L PA
Diagnostic Radiology Physician 2085R0202X 25MA05227300 NJ Primary

Addresses

Primary practice location

17 White Horse Pike
Ste 9
Haddon Heights, NJ 08035-1299

Mailing address

17 White Horse Pike
Suite 9, Heights Imaging Center
Haddon Heights, NJ 08035-1299
Phone (856) 546-1177

Other identifiers 14

IdentifierTypeStateIssuer
0014666080020MedicaidPA
0716985000OtherPAIBC KHPE
001466608MedicaidPA
P00390756OtherNJRRMC
P00403104OtherPARRMC
PA7584OtherPAHEALTHNET
231955165OtherPAAETNA USHC
001466608OtherPAAMERICHOICE OF PA
231955165OtherPAINTERGROUP SERVICES
6185703MedicaidNJ
034628OtherPAHIGHMARK BLUE SHIELD
367605OtherPAPHCS
MD052730LOtherPAHEALTH PARTNERS
30035147OtherPAKEYSTONE MERCY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180907000992 NY Practitioner - Diagnostic Radiology 5991697427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

100 TH St and Madison Ave
New York, NY 10029-6503
Phone (212) 241-6500

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 241-6426

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 241-6426

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

2510 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4390

2520 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4230

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000

3712 82ND St
Jackson Heights, NY 11372-7028
Phone (718) 879-1600

5 E 98TH St
New York, NY 10029-6501

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • Mount Sinai West Hospital, New York, NY, CCN 330046
  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169
  • Ny Eye and Ear Infirmary of Mount Sinai Hospital, New York, NY, CCN 330100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05227300NJMDDiagnostic Radiology Physician
MD052730LPAMDDiagnostic Radiology Physician

Practice roles (14 of 18)

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 1, 2018 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Deborah Heart and Lung Center Current Accepting new patients
Fpa Hospital Based CurrentSince Oct 1, 2018 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
Diagnostic Imaging Inc Diagnostic Radiology Past Accepting new patients
MRI Physician Associates, PC Diagnostic Radiology Past Accepting new patients
Univ of Penn Community Radiology Diagnostic Radiology Past Accepting new patients
Health Village Imaging, LLC PastSince Jan 22, 2007 Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

2020 Wantagh Ave
Wantagh, NY 11793
Phone (516) 248-2422

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 12

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1114955259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE",
            "address_2": "SUITE 9, HEIGHTS IMAGING CENTER",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351299",
            "telephone_number": "856-546-1177",
            "fax_number": "856-546-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE",
            "address_2": "STE 9",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351299",
            "telephone_number": "856-546-1177",
            "fax_number": "856-546-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "NEIL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD052730L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05227300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014666080020",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC KHPE",
            "identifier": "0716985000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001466608",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00390756",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00403104",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "PA7584",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC",
            "identifier": "231955165",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF PA",
            "identifier": "001466608",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGROUP SERVICES",
            "identifier": "231955165",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6185703",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "034628",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "367605",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "MD052730L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30035147",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

Verify at the official NPI Registry.