NPIMap

Organization Active NPI

Quakerbridge Radiology Associates PA

  • Diagnostic Radiology Physician
  • Mercerville, NJ
National Provider Identifier
1124027909
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22769 Issued in NJ
Legal business name
QUAKERBRIDGE RADIOLOGY ASSOCIATES PA
Practice address
8 Quakerbridge PLZ
Mercerville, NJ 08619-1255
Phone
(609) 890-0033
Fax
(609) 890-0440
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Dr. Bartley A Larsen, M.D.NPI 1982600672
Title
President/Managing Partner
Phone
(609) 890-0033

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 22769 NJ Primary

Addresses

Primary practice location

8 Quakerbridge PLZ
Mercerville, NJ 08619-1255

Mailing address

3535 Quakerbridge Rd
Suite 300
Mercerville, NJ 08619-1200
Phone (609) 890-0033

Other identifiers 1

IdentifierTypeStateIssuer
2727102MedicaidNJ

National Provider Directory

National Provider Directory

Locations

8 Quakerbridge Plz
Trenton, NJ 08619
Phone (609) 586-9666

3535 Quakerbridge Rd
Ste 300
Trenton, NJ 08619
Phone (609) 249-4644

8500S 41400
Philadelphia, PA 19178

8500 Lck Box
Philadelphia, PA 19178

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1124027909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 QUAKERBRIDGE RD",
            "address_2": "SUITE 300",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191200",
            "telephone_number": "609-890-0033",
            "fax_number": "609-689-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 QUAKERBRIDGE PLZ",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191255",
            "telephone_number": "609-890-0033",
            "fax_number": "609-890-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAKERBRIDGE RADIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "BARTLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/MANAGING PARTNER",
        "authorized_official_telephone_number": "609-890-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "22769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2727102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.