Individual provider Active NPI

Beena J Hagg, MD

  • Diagnostic Radiology Physician
  • Media, PA
National Provider Identifier
1265402085
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD065719L Issued in PA
Practice address
1068 W Baltimore Pike
Media, PA 19063
Phone
(610) 891-3388
Fax
(610) 891-3680
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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 MD065719L PA Primary

Addresses

Primary practice location

1068 W Baltimore Pike
Media, PA 19063

Mailing address

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 891-3388

Other identifiers 1

IdentifierTypeStateIssuer
1699270MedicaidPA

Other names 1

  • Ms. Beena J Enu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101202000665 NJ Practitioner - Diagnostic Radiology 3577507292 Reassigns benefits to 1 organization
I20101207000294 PA Practitioner - Diagnostic Radiology 3577507292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Hahnemann University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, shared by 2 NPIs, 352 clinicians

Practice addresses (Care Compare)

2401 E Evesham Rd
A2 RWHG Womens Imaging of South Jersey
Voorhees, NJ 08043-9590
Phone (856) 489-5700

4 Industrial Blvd
Suite 130
Paoli, PA 19301-1605
Phone (610) 994-1136

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as individual
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD065719LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Regional Women'S Health Group, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Radiology Associates of the Main Line P C Diagnostic Radiology Past Accepting new patients
Somerset OBGYN Association PastSince Dec 1, 2001 Accepting new patients
Riddle Imaging Assoc Diagnostic Radiology Past Accepting new patients
Heights Imaging Associates, PA Diagnostic Radiology Past Accepting new patients
Main Line Health Imaging LP Diagnostic Radiology Past Accepting new patients
Kamal B. Russell MD PC Diagnostic Radiology Past Accepting new patients

Locations

215 Union Ave
Ste A
Bridgewater, NJ 08807
Phone (908) 722-2900

620 Cranbury Rd
Ste 206
East Brunswick, NJ 08816
Phone (732) 238-2600

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

180 White Rd
Ste 209
Little Silver, NJ 07739
Phone (732) 842-0673

180 White Rd
Ste 204
Little Silver, NJ 07739
Phone (732) 842-4111

30 W Mount Pleasant Ave
Ste 200
Livingston, NJ 07039
Phone (201) 666-4200

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

247 Hurffville Crosskeys Rd
Ste 4C
Sewell, NJ 08080
Phone (856) 840-8017

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

2401 E Evesham Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 489-5700

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

1010 Haddonfield Berlin Rd
Ste 400
Voorhees, NJ 08043
Phone (856) 435-7007

101 Old Short Hills Rd
Ste 101
West Orange, NJ 07052
Phone (973) 736-1313

3050 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (610) 435-9575

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

400 Enterprise Dr
Ste 104
Limerick, PA 19468
Phone (610) 994-1136

400 Enterprise Dr
Ste 103
Limerick, PA 19468
Phone (610) 495-2380

1098 W Baltimore Pike
Media, PA 19063
Phone (610) 891-3030

4 Industrial Blvd
Ste 130
Paoli, PA 19301
Phone (610) 994-1136

799 Gay St
Phoenixville, PA 19460
Phone (610) 933-2440

85 Old Eagle School Rd
Wayne, PA 19087
Phone (610) 688-3744

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1265402085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 W BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-891-3388",
            "fax_number": "610-891-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 W BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-891-3388",
            "fax_number": "610-891-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGG",
        "first_name": "BEENA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD065719L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699270",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEENA",
            "last_name": "ENU",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.