Individual provider Active NPI

John J Doerr, M.D.

  • Diagnostic Radiology Physician
  • Clifton, NJ
National Provider Identifier
1194808717
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA04896600 Issued in NJ
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

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1433709MedicaidNJ
429083OtherNJAETNA
24F95OtherNJEMPIRE BC/BS SITE #200
F10779OtherNJHEALTH NET
60377891OtherNJMULTIPLAN
24F952OtherNJWELL CHOICE
A3392920OtherNJOXFORD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000004 NJ Practitioner - Diagnostic Radiology 0941253306 Reassigns benefits to 6 organizations

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
Universal Medicine LLCGroup PAC ID 8224348388, 4 clinicians
BHMG - United MedicalGroup PAC ID 5193949865, 28 clinicians
Advanced Womens Imaging LLCGroup PAC ID 2860716933, 3 clinicians
Advanced Magnetic ImagingGroup PAC ID 5799862934, 2 clinicians

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

LicenseStateTypeSpecialty
25MA04896600NJMDDiagnostic Radiology Physician
MA048966NJMDBone Densitometry Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
BHMG - United Medical CurrentSince Jul 1, 2014 Accepting new patients
Apex Radiology LLC CurrentSince Dec 1, 2024 Accepting new patients
Apex Radiology LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Universal Medicine, LLC CurrentSince Jan 1, 2025 Accepting new patients
Advanced Diagnostics & Imaging Professional Association Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Advanced Open MRI of West Hudson PA CurrentSince Nov 23, 2025 Accepting new patients
Imaging Center Montville LLC Wayne Radiology Center Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Agile Urgent Care LLC CurrentSince Nov 1, 2024 Accepting new patients
Advanced Womens Imaging LLC Diagnostic Radiology CurrentSince Apr 14, 2024 Accepting new patients
Advanced Imaging and Radiology Assoc Diagnostic Radiology Past Accepting new patients
Teaneck Radiology Center LLC PastSince Sep 1, 2009 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.