Individual provider Active NPI

David Roberts, MD

  • Diagnostic Radiology Physician
  • Medford, NJ
National Provider Identifier
1154320273
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07640500 Issued in NJ
Practice address
37 Pontiac Dr
Medford, NJ 08055-8146
Phone
(610) 592-8235
NPI assigned
Jul 20, 2005
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 25MA07640500 NJ Primary
Diagnostic Radiology Physician 2085R0202X ME165574 FL

Addresses

Primary practice location

37 Pontiac Dr
Medford, NJ 08055-8146

Mailing address

6001 Webb Rd
Tampa, FL 33615-3241
Phone (813) 888-7060

Other identifiers 9

IdentifierTypeStateIssuer
1124410OtherAETNA
1653259OtherHIGHMARK PA BLUE SHIELD
11180686OtherCAQH
60011009OtherHORIZON NJ HEALTH
A3738029OtherOXFORD HEALTH
RO1653259OtherPREMIER BLUE
P00200867OtherRAILROAD MEDICARE
2329848000OtherAMERIHEALTH
8062200MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, WA, NY, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040615001289 NJ Practitioner - Diagnostic Radiology 1557345709 Reassigns benefits to 18 organizations
I20240423002843 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1557345709 Reassigns benefits to 1 organization
I20240523001464 NY Practitioner - Diagnostic Radiology 1557345709 Reassigns benefits to 1 organization
I20260302002387 FL Practitioner - Diagnostic Radiology 1557345709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (609) 585-8800

11 Briar LN
Basking Ridge, NJ 07920-1336
Phone (615) 312-0600

37 Pontiac Dr
Medford, NJ 08055-8146
Phone (888) 501-6087

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME165574FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 29, 2025 Accepting new patients
Multicare Health System CurrentSince Mar 29, 2024 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince May 17, 2024 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Mar 10, 2024 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Apr 16, 2024 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Multicare Health System CurrentSince Mar 29, 2024 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jan 1, 2005 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 2, 2024 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Aug 8, 2024 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Feb 24, 2025 Accepting new patients
Larchmont Imaging Associates Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Apr 29, 2024 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Nov 11, 2025 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 9, 2023 Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology CurrentSince Jan 28, 2026 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Feb 28, 2025 Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 Accepting new patients
Excalibur Medical Imaging, LLC Diagnostic Radiology Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Univ of Penn Community Radiology Diagnostic Radiology Past Accepting new patients

Locations (25 of 32)

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

2200 Vernon St
Lagrange, GA 30240

300 Medical Dr
Ste 707
Lagrange, GA 30240
Phone (706) 803-7920

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

210 Black Gold Blvd
Hazard, KY 41701
Phone (606) 436-0711

1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

3051 Kiesel Rd
Bay City, MI 48706
Phone (989) 778-2888

9900 Birch Run Rd
Birch Run, MI 48415
Phone (989) 624-1500

1600 Brady St
Chesaning, MI 48616
Phone (989) 497-9395

5939 N Huron Rd
Oscoda, MI 48750
Phone (989) 739-1147

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500

110 Beech St
Ste B
Tawas City, MI 48763
Phone (989) 362-1015

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

401 Young Ave
Moorestown, NJ 08057
Phone (609) 261-4500

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

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

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

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

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 5

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1154320273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153241",
            "telephone_number": "813-888-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PONTIAC DR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558146",
            "telephone_number": "610-592-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07640500",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME165574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1124410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PA BLUE SHIELD",
            "identifier": "1653259",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11180686",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60011009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "A3738029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMIER BLUE",
            "identifier": "RO1653259",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00200867",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2329848000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8062200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.