Active NPI
John J Doerr, M.D.
- Diagnostic Radiology Physician
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA04896600
- Practice address
- 914 Clifton Ave
Clifton, NJ 07013-2708 - Phone
- (973) 777-5022
- Fax
- (973) 594-4769
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Bone Densitometry Radiologic Technologist | 2471B0102X | MA048966 | NJ | |
| Radiography Radiologic Technologist | 2471C3402X | MA048966 | NJ | |
| Mammography Radiologic Technologist | 2471M2300X | MA048966 | NJ | |
| Sonography Radiologic Technologist | 2471S1302X | MA048966 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA04896600 | NJ | Primary |
Addresses
Primary practice location
914 Clifton Ave
Clifton, NJ 07013-2708
Mailing address
PO Box 684
Clifton, NJ 07012-0684
Phone (973) 777-5022
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1433709 | Medicaid | NJ | |
| 429083 | Other | NJ | AETNA |
| 24F95 | Other | NJ | EMPIRE BC/BS SITE #200 |
| F10779 | Other | NJ | HEALTH NET |
| 60377891 | Other | NJ | MULTIPLAN |
| 24F952 | Other | NJ | WELL CHOICE |
| A3392920 | Other | NJ | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 River Rd
Suite 101
Edgewater, NJ 07020-1016
Phone (201) 308-8995
533 Lexington Ave
Clifton, NJ 07011-1923
Phone (973) 546-6844
612 Rugherford Ave
Lyndhurst, NJ 07071-1217
Phone (200) 460-0063
6416 Bergenline Ave
West New York, NJ 07093-1621
Phone (201) 472-8291
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04896600 | NJ | MD | Diagnostic Radiology Physician |
| MA048966 | NJ | MD | Bone Densitometry Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHMG - United Medical | Current | Accepting new patients | |
| Apex Radiology LLC | Current | Accepting new patients | |
| Apex Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Universal Medicine, LLC | Current | Accepting new patients | |
| Advanced Diagnostics & Imaging Professional Association | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Open MRI of West Hudson PA | Current | Accepting new patients | |
| Imaging Center Montville LLC Wayne Radiology Center | Diagnostic Radiology | Current | Accepting new patients |
| Agile Urgent Care LLC | Current | Accepting new patients | |
| Advanced Womens Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Imaging and Radiology Assoc | Diagnostic Radiology | Past | Accepting new patients |
| Teaneck Radiology Center LLC | Past | Accepting new patients |
Locations
988 Broadway
Ste 201
Bayonne, NJ 07002
Phone (201) 339-6111
988 Broadway
Ste 202
Bayonne, NJ 07002
533 Lexington Ave
Clifton, NJ 07011
Phone (973) 546-6844
103 River Rd
Ste 101
Edgewater, NJ 07020
Phone (201) 606-2592
723 Elm St
Kearny, NJ 07032
Phone (201) 997-7300
612 Rutherford Ave
Lyndhurst, NJ 07071
Phone (200) 460-0063
20 Meadowlands Pkwy
Ste 2
Secaucus, NJ 07094
Phone (201) 285-2372
516 Hamburg Tpke
Ste 6
Wayne, NJ 07470
Phone (973) 720-0050
6416 Bergenline Ave
West New York, NJ 07093
Phone (201) 295-1099
Interoperability endpoints
- jdoerr124294@epicdirect.rwjbh.org
Organizations & group practices 12
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.
-
- Diagnostic Radiology Physician
- West New York, NJ
- NPI 1164841979
-
- Internal Medicine Physician
- Lyndhurst, NJ
- NPI 1639594377
-
- Internal Medicine Physician
- Edgewater, NJ
- NPI 1649648809
-
- Radiology Clinic/Center
- West New York, NJ
- NPI 1356318760
-
- Cardiovascular Disease Physician
- Secaucus, NJ
- NPI 1598240285
Diagnostic Radiology
-
- Radiology Clinic/Center
- Kearney, NJ
- NPI 1548236300
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Secaucus, NJ
- NPI 1578264453
-
dba Journal Square Open MRI
- Diagnostic Radiology Physician
- Jersey City, NJ
- NPI 1558125716
-
dba Journal Square Open MRI
- Radiology Clinic/Center
- Jersey City, NJ
- NPI 1659061331
-
dba Wayne Radiology Center
- Diagnostic Radiology Physician
- Wayne, NJ
- NPI 1063172476
-
- Diagnostic Radiology Physician
- West Paterson, NJ
- NPI 1134152457
-
- Radiology Clinic/Center
- Teaneck, NJ
- NPI 1851445027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1194808717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 684",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070120684",
"telephone_number": "973-777-5022",
"fax_number": "973-594-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132708",
"telephone_number": "973-777-5022",
"fax_number": "973-594-4769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERR",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2471B0102X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Bone Densitometry",
"state": "NJ",
"license": "MA048966",
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "NJ",
"license": "MA048966",
"primary": false
},
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": "NJ",
"license": "MA048966",
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "NJ",
"license": "MA048966",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA04896600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1433709",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "429083",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS SITE #200",
"identifier": "24F95",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "F10779",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "60377891",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CHOICE",
"identifier": "24F952",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A3392920",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.