NPIMap

Individual provider Active NPI

David G Wirtshafter, M.D.

  • Diagnostic Radiology Physician
  • Avenel, NJ
National Provider Identifier
1225035785
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA06690100 Issued in NJ
Practice address
1500 Saint Georges Ave
Avenel, NJ 07001-1000
Phone
(732) 381-8686
Fax
(732) 499-7724
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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 25MA06690100 NJ Primary

Addresses

Primary practice location

1500 Saint Georges Ave
Avenel, NJ 07001-1000

Mailing address

1500 Saint Georges Ave
Avenel, NJ 07001-1000
Phone (732) 381-8686

Other identifiers 1

IdentifierTypeStateIssuer
6208207MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000835 NJ Practitioner - Diagnostic Radiology 3476584814 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Imaging LLCGroup PAC ID 8123312055, 68 clinicians
The New Jersey Imaging Network, LLCGroup PAC ID 2860633492, 68 clinicians
Health Village Imaging LLCGroup PAC ID 9537263223, 27 clinicians

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

157 Fries Mill Rd
Turnersville, NJ 08012-2017
Phone (856) 677-1010

27 S Cooks Bridge Rd
Suite 1 6
Jackson, NJ 08527-2460
Phone (732) 497-1200

Hospital & facility affiliations

  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
86.27 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
65.57

Merit-based Incentive Payment System (MIPS)

Final score
92.56 of 100Reported as group
Quality
91.25
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Feb 15, 2023 Accepting new patients
Avenel Iselin Medical Group, LLC CurrentSince Jun 8, 2019 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Health Village Imaging, LLC CurrentSince Jun 11, 2018 Accepting new patients
The New Jersey Imaging Network, LLC CurrentSince Sep 1, 2019 Accepting new patients
Red Bank Radiologists, PA Diagnostic Radiology Past Accepting new patients
Clifton Medical Imaging PA Diagnostic Radiology Past Accepting new patients
Elizabeth Radiology Associates, P.a. Diagnostic Radiology PastSince Jul 1, 2001 Accepting new patients
Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Diagnostic Radiology Assoc.,PA Past Accepting new patients

Locations

27695 Network Pl
Chicago, IL 60673

1500 Saint Georges Ave
Avenel, NJ 07001
Phone (732) 381-8686

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

1339 Broad St
Clifton, NJ 07013
Phone (973) 778-9600

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

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

400 Gill Ln
Iselin, NJ 08830
Phone (732) 404-1580

27 S Cooks Bridge Rd
Ste 1-6
Jackson, NJ 08527
Phone (732) 497-1200

279 Mathistown Rd
Little Egg Harbor Twp, NJ 08087
Phone (609) 296-1101

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

1301 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-0483

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

157 Fries Mill Rd
Turnersville, NJ 08012
Phone (856) 677-1010

1975 State Route 34
Wall Township, NJ 07719
Phone (732) 974-8060

Interoperability endpoints

  • Direct secure messaging: david.wirtshafter@direct.hackensackmeridian.org

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 11

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1225035785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SAINT GEORGES AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011000",
            "telephone_number": "732-381-8686",
            "fax_number": "732-499-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAINT GEORGES AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011000",
            "telephone_number": "732-381-8686",
            "fax_number": "732-499-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTSHAFTER",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06690100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6208207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

Verify at the official NPI Registry.