Active NPI
Quantum Imaging and Therapeutic Associates, Inc.
- Diagnostic Radiology Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- QUANTUM IMAGING AND THERAPEUTIC ASSOCIATES, INC.
- Practice address
- 4600 New Linden Hill Rd
Wilmington, DE 19808-2953 - Phone
- (717) 932-5200
- Fax
- (717) 932-3095
- NPI assigned
- Dec 31, 2013
- Last updated
- Dec 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth A Bergey, MD
- Title
- President/Ceo
- Phone
- (717) 932-5200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
4600 New Linden Hill Rd
Wilmington, DE 19808-2953
Mailing address
629D Lowther Rd
Lewisberry, PA 17339-9527
Phone (717) 932-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140327000128 | DE | Part B Supplier - Clinic/Group Practice | 1355254129 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fenwick Island, DE; Middletown, DE |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Lewisberry, PA
- NPI 1609863893
O20140327000128
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Lewisberry, PA
- NPI 1316934334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388448000000",
"number": "1467873968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629D LOWTHER RD",
"city": "LEWISBERRY",
"state": "PA",
"postal_code": "173399527",
"telephone_number": "717-932-5200",
"fax_number": "717-932-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 NEW LINDEN HILL RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198082953",
"telephone_number": "717-932-5200",
"fax_number": "717-932-3095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUANTUM IMAGING AND THERAPEUTIC ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-31",
"last_updated": "2013-12-31",
"status": "A",
"authorized_official_last_name": "BERGEY",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "717-932-5200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.