Individual provider Active NPI

Paul J Svigals, MD

  • Vascular & Interventional Radiology Physician
  • Mount Laurel, NJ
National Provider Identifier
1265452684
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA07317300 Issued in NJ
Practice address
200 Century Pkwy
Suite E
Mount Laurel, NJ 08054-1150
Phone
(856) 482-2800
Fax
(856) 482-9399
NPI assigned
Jul 20, 2006
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 25MA07317300 NJ Primary

Addresses

Primary practice location

200 Century Pkwy
Suite E
Mount Laurel, NJ 08054-1150

Mailing address

200 Century Pkwy
Suite E
Mount Laurel, NJ 08054-1150
Phone (856) 482-2800

Other identifiers 1

IdentifierTypeStateIssuer
8181403MedicaidNJ

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
I20050107000392 NJ Practitioner - Diagnostic Radiology 2062460033 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians
Sjvi LLCGroup PAC ID 0547318040, 2 clinicians

Practice addresses (Care Compare)

1198 Route 166
Toms River, NJ 08753-2243
Phone (732) 458-5854

200 Century Pkwy
Suite E
Mount Laurel, NJ 08054-1150
Phone (856) 482-2800

201 Laurel Oak Rd
Suite B
Voorhees, NJ 08043-4424
Phone (856) 566-5478

210 Jack Martin Blvd
Suite D1
Brick, NJ 08724-7771
Phone (732) 458-5854

4622 Black Horse Pike
Mays Landing, NJ 08330-3214
Phone (609) 383-0200

83 Hanover Rd
Suite 290
Florham Park, NJ 07932-1520
Phone (973) 736-2212

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07317300NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eoh Acquisition Group, LLC CurrentSince Jul 1, 2023 Accepting new patients
Northeast Kidney Care LLC CurrentSince Apr 10, 2024 Accepting new patients
Sjvi LLC Vascular & Interventional Radiology CurrentSince Apr 20, 2009 Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Jul 1, 2023 Accepting new patients
Eoh Acquisition Group, LLC Current Accepting new patients
SJV Management, LLC CurrentSince Jul 24, 2022 Accepting new patients
Regional Nephrology Associates, P.a. CurrentSince Nov 10, 2008 Accepting new patients
South Jersey Vascular Intitute LLC Vascular & Interventional Radiology PastSince Jan 6, 2005 Accepting new patients

Locations

210 Jack Martin Blvd
Ste D1
Brick, NJ 08724
Phone (732) 341-4600

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278

4622 Black Horse Pike
Ste 102
Mays Landing, NJ 08330
Phone (609) 829-3285

200 Century Pkwy
Ste E
Mount Laurel, NJ 08054
Phone (856) 482-2800

200 Century Pkwy
Ste F
Mount Laurel, NJ 08054

510 Jackson Ave
Northfield, NJ 08225
Phone 6093830200138

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

Interoperability endpoints

  • Direct secure messaging: paul.svigals@sjvasc.md.direct-ci.com
  • Direct secure messaging: psvigals26060@direct.acumenmd.com

Organizations & group practices 9

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1265452684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTURY PKWY",
            "address_2": "SUITE E",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541150",
            "telephone_number": "856-482-2800",
            "fax_number": "856-482-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTURY PKWY",
            "address_2": "SUITE E",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541150",
            "telephone_number": "856-482-2800",
            "fax_number": "856-482-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVIGALS",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA07317300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8181403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.