Active NPI
Thomas J Sergi, MD
- Diagnostic Radiology Physician
- Voorhees, NJ
National Provider Identifier
1205820438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA04085800
- Practice address
- 100 Carnie Blvd
Suite B-5
Voorhees, NJ 08043-4512 - Phone
- (856) 751-0123
- Fax
- (856) 751-0535
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA04085800 | NJ | Primary |
Addresses
Primary practice location
100 Carnie Blvd
Suite B-5
Voorhees, NJ 08043-4512
Mailing address
PO Box 1710
South Jersey Radiology Associates, PA
Voorhees, NJ 08043-7710
Phone (856) 770-0300
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109327000 | Other | AMERIHEALTH | |
| SE504421 | Other | PREMIER BLUE | |
| 1243570 | Other | UNITED HEALTHCARE | |
| A3738029 | Other | OXFORD HEALTH | |
| 1090818 | Other | HORIZON NJ HEALTH | |
| SE504421 | Other | HIGHMARK PA BLUE SHIELD | |
| 0732408 | Other | AETNA | |
| 1864904 | Medicaid | NJ | |
| 300047119 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1205820438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1710",
"address_2": "SOUTH JERSEY RADIOLOGY ASSOCIATES, PA",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080437710",
"telephone_number": "856-770-0300",
"fax_number": "856-770-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CARNIE BLVD",
"address_2": "SUITE B-5",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434512",
"telephone_number": "856-751-0123",
"fax_number": "856-751-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERGI",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA04085800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0109327000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIER BLUE",
"identifier": "SE504421",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1243570",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH",
"identifier": "A3738029",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1090818",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PA BLUE SHIELD",
"identifier": "SE504421",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0732408",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1864904",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300047119",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.