NPIMap

Individual provider Active NPI

Daniel Mizrahi

  • Diagnostic Radiology Physician
  • Galloway, NJ
National Provider Identifier
1457619686
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA10214700 Issued in NJ
Practice address
44 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-9599
Phone
(609) 677-9729
NPI assigned
Apr 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA10214700 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X MT201066 PA

Addresses

Primary practice location

44 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-9599

Mailing address

111 S 11TH St
Thomas Jefferson University Hospital
Philadelphia, PA 19107-4824
Phone (215) 955-6000

Other identifiers 2

IdentifierTypeStateIssuer
678486OtherNJMEDICARE OF NJ
0619523MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180712003452 NJ Practitioner - Diagnostic Radiology 7214150572 Reassigns benefits to 3 organizations
I20240503001794 CA Practitioner - Diagnostic Radiology 7214150572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians

Practice addresses (Care Compare)

2320 Bath St
Suite 113
Santa Barbara, CA 93105-4339
Phone (805) 682-7744

Hospital & facility affiliations

  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
  • Community Memorial Hospital - Ojai Hospital, Ojai, CA, CCN 051334

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as group
Quality
98.86
Improvement activities
40
Cost
77.42

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
84.68
Improvement activities
40
Cost
71.47

Merit-based Incentive Payment System (MIPS)

Final score
91.1 of 100Reported as group
Quality
89.53
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.84 of 100Reported as individual
Quality
76.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10214700NJMDDiagnostic Radiology Physician
MT201066PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
California Managed Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Atlantic Medical Imaging CurrentSince Jul 1, 2018 Accepting new patients
Atlantic Radiologists Professional Association LLC Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Redi Diagnostics Corp CurrentSince Sep 30, 2019 Accepting new patients
Ami Atlanticare LLC CurrentSince Jul 1, 2018 Accepting new patients
Radiology Associates of San Luis Obispo, a Medical Group Inc Diagnostic Radiology PastSince May 29, 2024 Accepting new patients
Pueblo Radiology Medical Group Inc Diagnostic Radiology PastSince Jun 1, 2024 Accepting new patients
Prostate Institute of America Inc Diagnostic Radiology PastSince Oct 1, 2022 Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

Dept LA 21738
Pasadena, CA 91185

5965 Village Way
#105317
San Diego, CA 92130
Phone (202) 422-6868

2320 Bath St
Ste 113
Santa Barbara, CA 93105
Phone (805) 560-8111

2320 Bath St
Ste 208
Santa Barbara, CA 93105

2320 Bath St
Ste 211
Santa Barbara, CA 93105
Phone (805) 560-8111

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961

168 N Brent St
Ste 401
Ventura, CA 93003
Phone (805) 652-5093

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

455 Jack Martin Blvd
Brick, NJ 08724
Phone (516) 543-1155

44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349

72 W Jimmie Leeds Rd
Ste 1100
Galloway, NJ 08205
Phone (609) 652-6815

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1457619686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "THOMAS JEFFERSON UNIVERSITY HOSPITAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E JIMMIE LEEDS RD STE 101",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059599",
            "telephone_number": "609-677-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRAHI",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA10214700",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT201066",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF NJ",
            "identifier": "678486",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0619523",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.