Active NPI
Elias A Iliadis, MD
- Cardiovascular Disease Physician
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA074027
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1172653 | Other | HORISON NJ HEALTH | |
| 8856508 | Medicaid | NJ | |
| 2117895000 | Other | AMERIHEALTH, KEYSTONE, IBC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (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
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 61 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA074027 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Department of Medicine | Current | Accepting new patients | |
| CMC Department of Medicine Group PA | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Camden, NJ
- NPI 1609908094
-
- Internal Medicine Physician
- Camden, NJ
- NPI 1104945005
-
- Specialist
- Camden, NJ
- NPI 1386682094
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1447207147
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape May Court House, NJ
- NPI 1053382697
-
dba Inspira Medical Center Elmer
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
dba Inspira Medical Center Mullica Hill
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
dba SJH Sports Rehab Care - Tomlin Station
- Physical Therapy Clinic/Center
- Mullica Hill, NJ
- NPI 1609158732
Hospital
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.