Active NPI
Radiology Associates of Burlington County P a
- Diagnostic Radiology Physician
- Mount Holly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY ASSOCIATES OF BURLINGTON COUNTY P A
- Practice address
- 175 Madison Ave
Mount Holly, NJ 08060-2038 - Phone
- (609) 267-0700
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Fogle
- Title
- Manager of Credentialing
- Phone
- (919) 763-1112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
175 Madison Ave
Mount Holly, NJ 08060-2038
Mailing address
400 Fellowship Rd Ste 200
Mount Laurel, NJ 08054-3437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2700107 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, MI, CO, TX, FL, OR, NY, WA, CT, NV, MO, KY, AZ, MA, KS, IA, HI, SD, ME, NH, AL, NE, WI, PA, DC, TN, GA, VA, NC, IN, CA, LA, MS, IL, AK, UT, GU, MT, PR
Enrollment records 39
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050408000763 | NJ | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 88 practitioners Practice locations: Basking Ridge, NJ; Denville, NJ; Livingston, NJ; Margate City, NJ; Moorestown, NJ; Mount Holly, NJ; New Vernon, NJ |
| O20240813001628 | MI | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 4 practitioners Practice locations: Brighton, MI; Canton, MI; Grosse Pointe Shores, MI; Ypsilanti, MI |
| O20250523000743 | CO | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 8 practitioners Practice locations: Avon, CO; Carbondale, CO; Castle Pines, CO; Castle Rock, CO; Crested Butte, CO; Denver, CO; Fort Collins, CO; Steamboat Springs, CO |
| O20250527001223 | TX | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 9 practitioners Practice locations: Tyler, TX; Sugar Land, TX; North Richland Hills, TX; Frisco, TX; Edinburg, TX; Dallas, TX; Carrollton, TX; Leander, TX |
| O20250527001303 | FL | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 13 practitioners Practice locations: Jacksonville, FL; Winter Springs, FL; Sarasota, FL; Saint Petersburg, FL; Port Saint Lucie, FL; Palm Harbor, FL; Milton, FL; Lakewood Ranch, FL… |
| O20250528002618 | OR | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 3 practitioners Practice locations: Bend, OR; Eugene, OR; Portland, OR |
| O20250602000057 | NY | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 8 practitioners Practice locations: Poughkeepsie, NY; West Point, NY; New York, NY; East Hampton, NY |
| O20250602000842 | WA | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 4 practitioners Practice locations: Arlington, WA; Gold Bar, WA; Woodinville, WA; Yarrow Point, WA |
| O20250603001444 | CT | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 4 practitioners Practice locations: Farmington, CT; Greenwich, CT; West Hartford, CT; Woodbridge, CT |
| O20250604003741 | NV | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 4 practitioners Practice locations: Henderson, NV; Las Vegas, NV |
| O20250606001205 | MO | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 3 practitioners Practice locations: Joplin, MO; Rolla, MO; Saint Louis, MO |
| O20250612001803 | KY | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 2 practitioners Practice locations: Lexington, KY; Louisville, KY |
| O20250613000744 | AZ | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 5 practitioners Practice locations: Flagstaff, AZ; Paradise Valley, AZ; Scottsdale, AZ; Tucson, AZ |
| O20250617001228 | MA | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Alford, MA |
| O20250617002168 | KS | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Prairie Village, KS |
| O20250617002729 | IA | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 3 practitioners Practice locations: Iowa City, IA; Cedar Falls, IA; Burlington, IA |
| O20250617003923 | HI | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Honolulu, HI |
| O20250618002997 | SD | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Spearfish, SD |
| O20250619000892 | ME | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Stockton Springs, ME |
| O20250619001173 | NH | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Raymond, NH |
| O20250619001507 | AL | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Madison, AL |
| O20250620002490 | NE | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Bellevue, NE |
| O20250623001888 | WI | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Fitchburg, WI |
| O20250627002408 | PA | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 5 practitioners Practice locations: Danville, PA; Philadelphia, PA; Newtown Square, PA; Easton, PA; Maple Glen, PA |
| O20250628000399 | DC | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 2 practitioners Practice locations: Kensington, MD; MC Lean, VA |
| O20250630002844 | TN | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 4 practitioners Practice locations: Memphis, TN; Murfreesboro, TN; Nashville, TN; Rockwood, TN |
| O20250707001043 | GA | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 2 practitioners Practice locations: Moultrie, GA; Peachtree City, GA |
| O20250707002517 | VA | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 4 practitioners Practice locations: Crozier, VA; Henrico, VA; Midlothian, VA; Virginia Beach, VA |
| O20250707004013 | NC | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 4 practitioners Practice locations: Chapel Hill, NC; Hillsborough, NC |
| O20250710000414 | IN | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Hanover, IN |
| O20250812003697 | CA | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 22 practitioners Practice locations: Murrieta, CA; Newark, CA; Newport Coast, CA; Oceanside, CA; Rancho Mirage, CA; Redlands, CA; Sacramento, CA; San Diego, CA… |
| O20250825000150 | LA | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Belle Chasse, LA |
| O20250825000286 | MS | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Jackson, MS |
| O20250905001400 | IL | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 4 practitioners Practice locations: Chicago, IL; Oak Brook, IL; Lincolnshire, IL; Naperville, IL |
| O20250908002131 | AK | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 2 practitioners Practice locations: Homer, AK |
| O20250908002900 | UT | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Woods Cross, UT |
| O20250908004027 | GU | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Tamuning, GU |
| O20250908004156 | MT | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Eureka, MT |
| O20260414004105 | PR | Part B Supplier - Clinic/Group Practice | 7012954381 |
Receives reassigned benefits from 1 practitioner Practice locations: Carolina, PR |
National Provider Directory
National Provider DirectoryLocations
1295 Route 38
Hainesport, NJ 08036
Phone (609) 261-7017
2986 Box
Philadelphia, PA 19178
Practitioners & affiliated clinicians
Practitioners 228
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1285885236
Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Mount Laurel, NJ
- NPI 1235131707
Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Hainesport, NJ
- NPI 1104186196
Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1407899826
Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Mount Laurel, NJ
- NPI 1487656997
Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1518965748
Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1336147354
CO, Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1134127178
Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Turnersville, NJ
- NPI 1518929272
Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1366441016
Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Turnersville, NJ
- NPI 1467415729
Diagnostic Radiology, NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748390400000",
"number": "1255385183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FELLOWSHIP RD STE 200",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MADISON AVE",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602038",
"telephone_number": "609-267-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY ASSOCIATES OF BURLINGTON COUNTY P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "FOGLE",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "MANAGER OF CREDENTIALING",
"authorized_official_telephone_number": "919-763-1112"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2700107",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.