Individual provider Active NPI

Elias A Iliadis, MD

  • Cardiovascular Disease Physician
  • Voorhees, NJ
National Provider Identifier
1326133034
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA074027 Issued in NJ
Practice address
900 Centennial Blvd
Building 2 Suite 202
Voorhees, NJ 08043-4637
Phone
(856) 325-6700
Fax
(856) 325-6702
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA074027 NJ Primary

Addresses

Primary practice location

900 Centennial Blvd
Building 2 Suite 202
Voorhees, NJ 08043-4637

Mailing address

3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 968-7433

Other identifiers 3

IdentifierTypeStateIssuer
1172653OtherHORISON NJ HEALTH
8856508MedicaidNJ
2117895000OtherAMERIHEALTH, KEYSTONE, IBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 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
I20050912000014 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 6800829896 Reassigns benefits to 1 organization
I20200421001154 DE Practitioner - Cardiovascular Disease (Cardiology) 6800829896

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-4192

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting61
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA074027NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine CurrentSince Jun 17, 2002 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jun 17, 2002 Accepting new patients
Cooper Anesthesia Associates, PC Past Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 502
Camden, NJ 08103
Phone (856) 342-2921

1 Cooper Plz
Fl 4
Camden, NJ 08103

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

222 Gibbsboro Rd
Clementon, NJ 08021
Phone (609) 784-4999

416 Haddon Ave
Collingswood, NJ 08108
Phone (856) 858-1240

1450 Almonesson Rd
Ste 125
Deptford, NJ 08096
Phone (856) 223-0965

1450 Almonesson Rd
Ste 105
Deptford, NJ 08096
Phone (856) 537-9555

698 Mullica Hill Rd
Ste 330
Mullica Hill, NJ 08062
Phone (856) 508-3707

400 Medical Center Dr
Ste B
Sewell, NJ 08080
Phone (570) 947-8229

900 Centennial Blvd
Ste 202
Voorhees, NJ 08043
Phone (856) 325-6700

900 Centennial Blvd
Ste 201
Voorhees, NJ 08043
Phone (856) 325-6700

218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400

Interoperability endpoints

  • Direct secure messaging: eiliadis3137@direct.cooperhealth.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1326133034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 502",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-968-7433",
            "fax_number": "856-968-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTENNIAL BLVD",
            "address_2": "BUILDING 2 SUITE 202",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434637",
            "telephone_number": "856-325-6700",
            "fax_number": "856-325-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIADIS",
        "first_name": "ELIAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA074027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORISON NJ HEALTH",
            "identifier": "1172653",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8856508",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH, KEYSTONE, IBC",
            "identifier": "2117895000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.