Organization Active NPI

Ancillary Services of Practice Associates PA

Doing business as AMG Radiology

  • Diagnostic Radiology Physician
  • Morristown, NJ
National Provider Identifier
1144858408
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ANCILLARY SERVICES OF PRACTICE ASSOCIATES PA
Doing business as
AMG Radiology
Practice address
100 Madison Ave
Morristown, NJ 07960-6136
Phone
(973) 971-5000
NPI assigned
Mar 31, 2020
Last updated
Feb 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Steven SherisNPI 1629062187
Title
SVP Physician Enterprise
Phone
(973) 630-8980

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X NU
Nuclear Radiology Physician 2085N0904X NU
Pediatric Radiology Physician 2085P0229X NU
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

100 Madison Ave
Morristown, NJ 07960-6136

Mailing address

475 South St
Morristown, NJ 07960-6459

Other names 1

  • AMG Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA, FL, DC, PA, TX, NV, NY, NH, CO, GA, MI, DE, PR, WV, HI16 enrollments

Enrollment records 16

Enrollment IDStateProvider typePAC IDDetails
O20200617000058 NJ Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 118 practitioners
Practice locations: Hackettstown, NJ; Warren, NJ; Union, NJ; Summit, NJ; Rockaway, NJ; Pompton Plains, NJ; Newton, NJ; Mountain Lakes, NJ…
O20210125001472 CA Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 4 practitioners
Practice locations: Santa Monica, CA; La Habra, CA; Irvine, CA; Del Mar, CA
O20230118002178 FL Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 5 practitioners
Practice locations: Miami, FL; Sarasota, FL; Tampa, FL
O20230831000976 DC Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC
O20240524002081 PA Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 1 practitioner
Practice locations: Mars, PA
O20240812000773 TX Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 2 practitioners
Practice locations: Flower Mound, TX; Houston, TX
O20240826002134 NV Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 1 practitioner
Practice locations: Incline Village, NV
O20240930002740 NY Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 4 practitioners
Practice locations: Bronx, NY; Brooklyn, NY; Mount Vernon, NY; New York, NY
O20241229000068 NH Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 1 practitioner
Practice locations: Concord, NH
O20250117001645 CO Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO
O20250218002363 GA Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA
O20250520003937 MI Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 1 practitioner
Practice locations: Midland, MI
O20250528001440 DE Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 1 practitioner
Practice locations: Dover, DE
O20251106004374 PR Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 1 practitioner
Practice locations: Rio Grande, PR
O20260306000385 WV Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 1 practitioner
Practice locations: Morgantown, WV
O20260410002893 HI Part B Supplier - Clinic/Group Practice 4981026192 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua, HI

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

54 Airport Rd
Concord, NH 03301

261 James St
Ste 3C
Morristown, NJ 07960
Phone (973) 206-1033

310 Madison Ave
Morristown, NJ 07960
Phone (973) 285-7800

333 Mount Hope Ave
Ste 320
Rockaway, NJ 07866
Phone (973) 625-5700

11 Overlook Rd
Ste LL103
Summit, NJ 07901
Phone (855) 862-2778

42 W 33rd St
Apt B
New York, NY 10001

Practitioners & affiliated clinicians

Practitioners 138

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 138

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1144858408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SOUTH ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCILLARY SERVICES OF PRACTICE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "SHERIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SVP PHYSICIAN ENTERPRISE",
        "authorized_official_telephone_number": "973-630-8980"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMG Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.