Individual provider Active NPI

Niti Tank, MD

  • Diagnostic Radiology Physician
  • Cherry Hill, NJ
National Provider Identifier
1184825879
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA09034800 Issued in NJ
Practice address
2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone
(856) 488-6500
Fax
(856) 922-5109
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD442160 PA
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 25MA09034800 NJ Primary

Addresses

Primary practice location

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048

Mailing address

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 488-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120803000503 NJ Practitioner - Diagnostic Radiology 6103072343 Reassigns benefits to 2 organizations
I20181010001891 PA Practitioner - Diagnostic Radiology 6103072343 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers New Jersey Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University Physicians of New Jersey PCGroup PAC ID 9931325131, 117 clinicians
Jefferson University Radiology Associates LLCGroup PAC ID 7315845708, shared by 3 NPIs, 110 clinicians

Practice addresses (Care Compare)

445 Hurffville Crosskeys Rd
B16
Sewell, NJ 08080-2351
Phone (856) 256-7591

850 Walnut St
Jefferson Outpatient Imaging
Philadelphia, PA 19107-5109
Phone (610) 831-0500

999 Route 73 N 101
Jefferson Outpatient Imaging
Marlton, NJ 08053-1227
Phone (856) 424-2929

Hospital & facility affiliations

  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Sep 3, 2019 Accepting new patients
Lebanon Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Nov 12, 2019 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Sep 17, 2018 Accepting new patients
Jeanes Radiology Associates LLC Diagnostic Radiology CurrentSince Nov 12, 2019 Accepting new patients
800 Imaging Associates LLC CurrentSince Jun 1, 2020 Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology CurrentSince Nov 12, 2019 Accepting new patients
Jefferson University Physicians Diagnostic Radiology CurrentSince Sep 17, 2018 Accepting new patients
Jefferson University Radiology Associates LLC Diagnostic Radiology Current Accepting new patients
Jefferson University Physicians of New Jersey, P.C. CurrentSince Dec 11, 2018 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Sep 17, 2018 Accepting new patients
Insight Health Corp PastSince Dec 7, 2019 Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

999 Route 73 N
Ste 101
Marlton, NJ 08053
Phone (856) 424-2929

445 Hurffville Crosskeys Rd
Ste B16
Sewell, NJ 08080
Phone (856) 256-7591

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

462 Gateway Ave
Chambersburg, PA 17201
Phone (717) 263-4999

150 E Pennsylvania Ave
Downingtown, PA 19335
Phone (215) 772-9674

800 W State St
Ste 203
Doylestown, PA 18901
Phone (215) 345-4568

1 W Germantown Pike
Norristown, PA 19401
Phone (610) 277-3202

111 S 11th St
Ste G3390
Philadelphia, PA 19107
Phone (215) 955-2900

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900

2301 S Broad St
Fl 1
Philadelphia, PA 19148
Phone (215) 952-9136

111 S 11th St
Fl 3
William Penn Annex West, PA 19107
Phone (215) 955-4804

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1184825879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6500",
            "fax_number": "856-922-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANK",
        "first_name": "NITI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD442160",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09034800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.