Active NPI
Radiology Associates of Burlington County P a
- Diagnostic Radiology Physician
- Mount Holly, NJ
National Provider Identifier
1255385183
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
- Last updated
- May 28, 2025
- 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
National Provider Directory
National Provider DirectoryLocations
1295 Route 38
Hainesport, NJ 08036
Phone (609) 261-7017
210 Ark Rd
Ste 106
Mount Laurel, NJ 08054
Phone (609) 261-7017
400 Fellowship Rd
Ste 200
Mount Laurel, NJ 08054
2986 Box
Philadelphia, PA 19178
Practitioners & affiliated clinicians
Practitioners 230
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1285885236
-
- Diagnostic Radiology Physician
- Mount Laurel, NJ
- NPI 1235131707
-
- Diagnostic Radiology Physician
- Hainesport, NJ
- NPI 1104186196
-
- Vascular & Interventional Radiology Physician
- Voorhees, NJ
- NPI 1093957094
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1407899826
-
- Diagnostic Radiology Physician
- Mount Laurel, NJ
- NPI 1487656997
-
- Diagnostic Radiology Physician
- Camden, NJ
- NPI 1689706434
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1518965748
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1134127178
-
- Diagnostic Radiology Physician
- Turnersville, NJ
- NPI 1518929272
-
- Diagnostic Radiology Physician
- Voorhees, NJ
- NPI 1366441016
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": "",
"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.