Individual provider Active NPI

Mario G Arredondo, M.D.

  • Diagnostic Radiology Physician
  • Red Bank, NJ
National Provider Identifier
1285652164
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07393400 Issued in NJ
Practice address
69 Cliffedge Way
Red Bank, NJ 07701-5201
Phone
(908) 433-5232
Fax
(646) 448-4628
NPI assigned
Jul 18, 2006
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 25MA07393400 NJ
Diagnostic Radiology Physician 2085R0202X 25MA07393400 NJ Primary

Addresses

Primary practice location

69 Cliffedge Way
Red Bank, NJ 07701-5201

Mailing address

69 Cliffedge Way
Red Bank, NJ 07701-5201
Phone (908) 433-5232

Other practice location 1

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2065

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
I20040415000231 NJ Practitioner - Diagnostic Radiology 1355336934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ancillary Services of Practice Associates PA Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Hunterdon Ambulatory Services LLC CurrentSince May 20, 2024 Accepting new patients
Women's Healthcare Imaging, Corp. CurrentSince Apr 15, 2024 Accepting new patients
Valley Physician Services PC CurrentSince Apr 2, 2019 Accepting new patients
Atlantic Imaging Services LLC Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Freehold Mr Associates, P.a. Diagnostic Radiology Past Accepting new patients
Xra, P.a. Diagnostic Radiology Past Accepting new patients
Innovative Medical Diagnostic Care, PC Past Accepting new patients
Freehold Radiology Group Diagnostic Radiology Past Accepting new patients
Freehold Area Radiology, P.a. Diagnostic Radiology Past Accepting new patients
Xra, P.a. Diagnostic Radiology Past Accepting new patients

Locations

471 Broadway
Ste 400
Bayonne, NJ 07002
Phone (973) 436-0511

1121 Route 22
Ste 103
Bridgewater, NJ 08807
Phone (908) 237-4001

100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620

140 Central Ave
Ste 600
Clark, NJ 07066
Phone (732) 943-5030

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
#537
Freehold, NJ 07728
Phone (732) 462-3302

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

3025 Paramus Park Mall
Ste 300
Paramus, NJ 07652
Phone (201) 267-6889

10 Lanidex Plz W
Ste 125
Parsippany, NJ 07054
Phone (973) 267-1274

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

1896 Morris Ave
Union, NJ 07083
Phone (908) 687-8282

Interoperability endpoints

  • Direct secure messaging: mario.arredondo.1@5622.direct.athenahealth.com
  • Direct secure messaging: marredondo513018@direct.ahsys.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1285652164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 CLIFFEDGE WAY",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015201",
            "telephone_number": "908-433-5232",
            "fax_number": "646-448-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 CLIFFEDGE WAY",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015201",
            "telephone_number": "908-433-5232",
            "fax_number": "646-448-4628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "908-522-2065",
            "fax_number": "908-522-5763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARREDONDO",
        "first_name": "MARIO",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NJ",
            "license": "25MA07393400",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07393400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.