Excalibur Medical Imaging, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EXCALIBUR MEDICAL IMAGING, PA

Practice address

710 Dominion Dr
Moorestown, NJ 08057-4404

Phone

(856) 482-2900

Fax

(856) 482-5127

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Arthur J Greene, MD

Title

President

Phone

(856) 482-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Excalibur Medical Imaging PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Excalibur Healthcare

  • Radiology Clinic/Center
  • Maple Shade, NJ
  • NPI 1659727741
  NPD tax ID
• Excalibur Medical Imaging, PA

  • Diagnostic Radiology Physician
  • Moorestown, NJ
  • NPI 1588751838
  NPD tax ID

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417958935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 DOMINION DR",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574404",
            "telephone_number": "856-482-2900",
            "fax_number": "856-482-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DOMINION DR",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574404",
            "telephone_number": "856-482-2900",
            "fax_number": "856-482-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCALIBUR MEDICAL IMAGING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-482-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3860507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher V Esposito, DMD
• Genevieve Esposito, DPT
• Evergrowing Smiles LLC
• Mary Jean Evers, LCSW
• Excalibur Medical Imaging, LLC
• Excalibur Medical Imaging, PA
• Families First Healthcare, LLC.
• Family Medicine Associates, P.a.
• Joseph Farrell, D.O.
• Pamela Anne Marie Fazio, DO

• Specialist in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.