Individual provider Active NPI

Nazir Elabidin, M.D.

  • Diagnostic Radiology Physician
  • Toms River, NJ
National Provider Identifier
1205823192
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA03445300 Issued in NJ
Practice address
99 Highway 37
Toms River, NJ 08755-6423
Phone
(732) 557-8151
Fax
(732) 557-2064
NPI assigned
Oct 5, 2005
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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 25MA03445300 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

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
I20051019000038 NJ Practitioner - Diagnostic Radiology 8426084047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The New Jersey Imaging Network, LLCGroup PAC ID 2860633492, 68 clinicians

Practice addresses (Care Compare)

17 White Horse Pike
Haddon Heights, NJ 08035-1299
Phone (856) 546-1177

Merit-based Incentive Payment System (MIPS)

Final score
75.64 of 100Reported as group
Quality
55.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The New Jersey Imaging Network, LLC CurrentSince Sep 1, 2014 Accepting new patients
Health Village Imaging, LLC PastSince Jan 22, 2007 Accepting new patients

Locations

27695 Network Pl
Chicago, IL 60673

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

17 White Horse Pike
Ste 9
Haddon Hgts, NJ 08035
Phone (856) 546-1177

21 Stockton Dr
Toms River, NJ 08755
Phone (207) 883-1285

Organizations & group practices 3

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.

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": "1424822400000",
    "number": "1205823192",
    "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": "732-557-8151",
            "fax_number": "732-557-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELABIDIN",
        "first_name": "NAZIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA03445300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.