NPIMap

Individual provider Active NPI

Kevin Willis, M.D.

  • Diagnostic Radiology Physician
  • Toms River, NJ
National Provider Identifier
1174510937
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07932100 Issued in NJ
Practice address
99 Highway 37
Toms River, NJ 08755-6423
Phone
(732) 557-8051
Fax
(732) 557-2064
NPI assigned
Oct 5, 2005
Last updated
Nov 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA07932100 NJ Primary

Addresses

Primary practice location

99 Highway 37
Toms River, NJ 08755-6423

Mailing address

2501 Oregon Pike
Suite 101
Lancaster, PA 17601-4890
Phone (717) 293-3223

Other identifiers 1

IdentifierTypeStateIssuer
CF1652OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051013000516 NJ Practitioner - Diagnostic Radiology 0648170217 Reassigns benefits to 6 organizations
I20210920001032 FL Practitioner - Diagnostic Radiology 0648170217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Imaging LLCGroup PAC ID 8123312055, 68 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Health Village Imaging LLCGroup PAC ID 9537263223, 27 clinicians
Advanced Shore Imaging AssociatesGroup PAC ID 1254649395, 18 clinicians
Eoh Acquisition Group, LLCGroup PAC ID 4082009717, 38 clinicians
Advanced Radiology SolutionsGroup PAC ID 5597985507, 36 clinicians

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

1223 Harding St
Winter Park, FL 32789-2651
Phone (904) 339-5550

1301 Route 72 W
Suite 100
Manahawkin, NJ 08050-2483
Phone (609) 660-9729

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (904) 399-5550

1520 Highland Rd
Winter Park, FL 32789-5743
Phone (609) 597-6011

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550

2605 Shore Rd
Northfield, NJ 08225-2136
Phone (732) 678-0087

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 414-3473

649 Shore Rd
Somers Point, NJ 08244-2449
Phone (609) 653-3620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.85 of 100Reported as group
Quality
91.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.27 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
65.57

Merit-based Incentive Payment System (MIPS)

Final score
92.56 of 100Reported as group
Quality
91.25
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eoh Acquisition Group, LLC CurrentSince Feb 2, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Vsi Rad LLC Diagnostic Radiology CurrentSince Jan 19, 2025 Accepting new patients
Advanced Shore Imaging Associates Diagnostic Radiology CurrentSince Nov 1, 2015 Accepting new patients
Health Village Imaging, LLC CurrentSince Jan 22, 2007 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Feb 15, 2023 Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Feb 2, 2025 Accepting new patients
Eoh Acquisition Group, LLC Current Accepting new patients
Diagnostic Imaging Inc Diagnostic Radiology Past Accepting new patients
Trustees of the University of Pennsylvania Family Medicine Past Accepting new patients
Radiology Associates of Poughkeepsie PLLC Diagnostic Radiology Past Accepting new patients
Crystal Run Healthcare Physicians LLP Past Accepting new patients
Red Bank Radiologists, PA Diagnostic Radiology Past Accepting new patients
3G Radiology, LLC Diagnostic Radiology Past Accepting new patients
Univ of Penn Community Radiology Diagnostic Radiology Past Accepting new patients

Locations

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

27 S Cooks Bridge Rd
Ste 1-6
Jackson, NJ 08527
Phone (732) 497-1200

279 Mathistown Rd
Little Egg Harbor Twp, NJ 08087
Phone (609) 296-1101

1301 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-0483

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

2605 Shore Rd
Ste 101
Northfield, NJ 08225
Phone (732) 429-4199

1975 State Route 34
Wall Township, NJ 07719
Phone (732) 974-8060

Interoperability endpoints

  • Direct secure messaging: kevin.willis@direct.hackensackmeridian.org

Organizations & group practices 18

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 18

Hospital & facility affiliations 7

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1174510937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 OREGON PIKE",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014890",
            "telephone_number": "717-293-3223",
            "fax_number": "717-390-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HIGHWAY 37",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556423",
            "telephone_number": "732-557-8051",
            "fax_number": "732-557-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07932100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF1652",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.