South Jersey Radiology Associates P a
Organization Active NPI Diagnostic Radiology Physician · Voorhees, NJ
NPI 1477551653 · NPPES record last updated May 4, 2026
Key facts
- NPI
- 1477551653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- SOUTH JERSEY RADIOLOGY ASSOCIATES P A
- Practice address
- 100 Carnie Blvd Ste B5
Voorhees, NJ 08043-4514 - Phone
- (888) 909-7572
- NPI assigned
- Jul 12, 2005
- Organization subpart
- No
Authorized official
- Name
- Kate Roelle
- Title
- Sr. Director of Credentialing
- Phone
- (614) 689-1691
Practitioners 300
-
Kevin P. Barry, M.D.
-
Darren Bialo, M.D.
-
James J Bloor, DO
-
Michael C. Brodsky, M.D.
-
Charles E. Cordell, M.D.
-
Mark Delaurentis, MD
-
Nilesh M Doshi, MD
-
James P Elder, MD
-
Michael C Farner, MD
-
Denise Fog, DO
-
Travis James Gehringer, M.D.
-
Steven L Gilbert, M.D.
-
Gregory John Goodworth, M.D.
-
Robert T. Harvey, M.D.
-
Sekhar Gopalan Iyer, MD, DO
-
Jin Jung, MD
-
Michael S. Kaufman, M.D.
-
Jinhee Kwak, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1037776 | South Jersey Radiology Associates, PA | Certificate of waiver | Mar 3, 2027 |
| 31D2305588 | South Jersey Radiology Associates, PA | Certificate of waiver | Jun 3, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (41 enrollments) in NJ, MI, VA, NC, NY, FL, CT, TX, NV, OR, PA, AZ, HI, WA, AL, CA, LA, ME, NH, SD, MS, IN, NE, TN, GA, CO, MO, IA, KY, MA, KS, WI, MT, AK, DC, IL, UT, GU, OK, SC, PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040422000102 | NJ | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 81 practitioners Practice locations: Sewell, NJ; Turnersville, NJ; Voorhees, NJ; West Deptford, NJ; Willingboro, NJ; Livingston, NJ; Mount Laurel, NJ; Moorestown, NJ… |
| O20240808000212 | MI | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 6 practitioners Practice locations: Brighton, MI; Canton, MI; Grosse Pointe Shores, MI; Rochester, MI; Royal Oak, MI; Ypsilanti, MI |
| O20241021004460 | VA | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 6 practitioners Practice locations: Norfolk, VA; Virginia Beach, VA; Midlothian, VA; Henrico, VA; Crozier, VA |
| O20250513002771 | NC | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 5 practitioners Practice locations: Chapel Hill, NC; Hillsborough, NC; Holly Springs, NC |
| O20250515001007 | NY | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 10 practitioners Practice locations: Delmar, NY; West Point, NY; Poughkeepsie, NY; New York, NY; East Hampton, NY; Lagrangeville, NY |
| O20250515001233 | FL | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 15 practitioners Practice locations: Winter Springs, FL; Tampa, FL; Sarasota, FL; Saint Petersburg, FL; Port Saint Lucie, FL; Palm Harbor, FL; Lakewood Ranch, FL; Milton, FL… |
| O20250516000831 | CT | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 4 practitioners Practice locations: Farmington, CT; Greenwich, CT; West Hartford, CT; Woodbridge, CT |
| O20250528002473 | TX | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 10 practitioners Practice locations: Dallas, TX; Tyler, TX; Sugar Land, TX; North Richland Hills, TX; Leander, TX; Houston, TX; Frisco, TX; Edinburg, TX… |
| O20250529001530 | NV | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 4 practitioners Practice locations: Henderson, NV; Las Vegas, NV |
| O20250529001852 | OR | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 3 practitioners Practice locations: Portland, OR; Bend, OR; Eugene, OR |
| O20250529004141 | PA | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 5 practitioners Practice locations: Easton, PA; Philadelphia, PA; Newtown Square, PA; Maple Glen, PA; Danville, PA |
| O20250603001145 | AZ | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 5 practitioners Practice locations: Flagstaff, AZ; Paradise Valley, AZ; Scottsdale, AZ; Tucson, AZ |
| O20250604002597 | HI | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Honolulu, HI; Tamuning, GU |
| O20250604003032 | WA | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 5 practitioners Practice locations: Woodinville, WA; Yarrow Point, WA; Gold Bar, WA; Arlington, WA |
| O20250606000350 | AL | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Madison, AL |
| O20250606000691 | CA | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 27 practitioners Practice locations: Woodland Hills, CA; Walnut Creek, CA; Temecula, CA; South Pasadena, CA; Santa Rosa Valley, CA; San Diego, CA; Sacramento, CA; Redlands, CA… |
| O20250611001771 | LA | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Belle Chasse, LA |
| O20250623001915 | ME | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Stockton Springs, ME |
| O20250623002695 | NH | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Raymond, NH |
| O20250624002750 | SD | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Spearfish, SD |
| O20250625001520 | MS | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Jackson, MS |
| O20250626004122 | IN | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Hanover, IN |
| O20250626004190 | NE | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Bellevue, NE |
| O20250627001081 | TN | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 4 practitioners Practice locations: Rockwood, TN; Nashville, TN; Murfreesboro, TN; Memphis, TN |
| O20250630002341 | GA | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 5 practitioners Practice locations: Atlanta, GA; Brookhaven, GA; Moultrie, GA; Peachtree City, GA; Roswell, GA |
| O20250702003125 | CO | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 14 practitioners Practice locations: Avon, CO; Steamboat Springs, CO; Littleton, CO; Fort Collins, CO; Denver, CO; Crested Butte, CO; Castle Rock, CO; Castle Pines, CO… |
| O20250709004106 | MO | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 3 practitioners Practice locations: Joplin, MO; Rolla, MO; Saint Louis, MO |
| O20250714003318 | IA | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 3 practitioners Practice locations: Burlington, IA; Iowa City, IA; Cedar Falls, IA |
| O20250714003668 | KY | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 3 practitioners Practice locations: Nicholasville, KY; Louisville, KY; Lexington, KY |
| O20250716001231 | MA | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Alford, MA |
| O20250716003083 | KS | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Prairie Village, KS |
| O20250722001824 | WI | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 2 practitioners Practice locations: Fitchburg, WI; Menomonee Falls, WI |
| O20250729002386 | MT | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 2 practitioners Practice locations: Bozeman, MT; Eureka, MT |
| O20250729002508 | AK | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 2 practitioners Practice locations: Homer, AK |
| O20250805001104 | DC | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 2 practitioners Practice locations: MC Lean, VA; Kensington, MD |
| O20250903000733 | IL | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 4 practitioners Practice locations: Chicago, IL; Lincolnshire, IL; Oak Brook, IL; River Forest, IL |
| O20250903002154 | UT | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Woods Cross, UT |
| O20250905004077 | GU | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Tamuning, GU |
| O20260202000045 | OK | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Choctaw, OK |
| O20260204001013 | SC | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 7 practitioners Practice locations: Simpsonville, SC; Greenville, SC |
| O20260418000298 | PR | Part B Supplier - Clinic/Group Practice | 9133115587 |
Receives reassigned benefits from 1 practitioner Practice locations: Carolina, PR |
National Provider Directory
Locations
315 Route 70 E
Ste B
Cherry Hill, NJ 08034
Phone (856) 375-6240
315 Route 70 E
Ste B9
Cherry Hill, NJ 08034
1401 Route 70 E
Ste 9
Cherry Hill, NJ 08034
Phone (609) 428-4344
807 N Haddon Ave
Ste 5
Haddonfield, NJ 08033
Phone (856) 616-1130
2 Greentree Ctr
Ste 124
Marlton, NJ 08053
Phone (856) 428-4344
1000 Lincoln Dr E
Marlton, NJ 08053
Phone (877) 422-6257
1000 Lincoln Dr E
Ste 1
Marlton, NJ 08053
Phone (856) 983-1818
103 Old Marlton Pike
Ste 114115
Medford, NJ 08055
400 Fellowship Rd
Ste 200
Mount Laurel, NJ 08054
6650 Browning Rd
Rm M14
Pennsauken, NJ 08109
Phone (856) 665-3330
239 Hurffville Crosskeys Rd
Ste 140
Sewell, NJ 08080
158 Route 73
Voorhees, NJ 08043
200 Bowman Dr
Ste E200
Voorhees, NJ 08043
1307 White Horse Rd
Ste A102
Voorhees, NJ 08043
Phone (856) 374-4031
100 Carnie Blvd
Ste A4
Voorhees, NJ 08043
Phone (856) 751-0123
100 Carnie Blvd
Ste B5
Voorhees, NJ 08043
Phone (856) 751-0123
219 Sunset Rd
Willingboro, NJ 08046
Phone (609) 261-4500
52 W Red Bank Ave
Ste 19
Woodbury, NJ 08096
Phone (856) 686-7290
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
100 Carnie Blvd Ste B5
Voorhees, NJ 08043-4514
Mailing address
400 Fellowship Rd Ste 200
Mount Laurel, NJ 08054-3437
Other practice location 1
315 Route 70 E Ste B
Cherry Hill, NJ 08034-2408
Phone (888) 909-7572
Other practice location 2
807 N Haddon Ave Ste 5
Haddonfield, NJ 08033-1749
Phone (888) 909-7572
Other practice location 3
1000 Lincoln Dr E Ste 1
Marlton, NJ 08053-1566
Phone (888) 909-7572
Other practice location 4
103 Old Marlton Pike Ste 114&115
Medford, NJ 08055-8772
Phone (888) 909-7572
Other practice location 5
401 Young Ave Ste 185
Moorestown, NJ 08057-3140
Phone (888) 909-7572
Other practice location 6
210 Ark Road
Suite 106, 108, 110 & 212
Mount Laurel, NJ 08054
Phone (888) 909-7572
Other practice location 7
105 Kings Way W
Sewell, NJ 08080-2233
Phone (888) 909-7572
Other practice location 8
239 Hurffville Crosskeys Rd Ste 140
Sewell, NJ 08080-4004
Phone (888) 909-7572
Other practice location 9
901 Route 168 Ste 301-305
Turnersville, NJ 08012-3210
Phone (888) 909-7572
Other practice location 10
158 Route 73 North
Voorhees, NJ 08043
Phone (888) 909-7572
Other practice location 11
100 Carnie Blvd Ste A4
Voorhees, NJ 08043-4513
Phone (888) 909-7572
Other practice location 12
748 Kings Hwy
West Deptford, NJ 08096-3157
Phone (888) 909-7572
Other practice location 13
219 Sunset Rd
Willingboro, NJ 08046-1109
Phone (888) 909-7572
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016366 | Other | AETNA | |
| 00099913000 | Other | AMERIHEALTH - HMO | |
| 429966 | Other | PREMIER BLUE | |
| 2612704 | Medicaid | NJ | |
| 429966 | Other | AMERIHEALTH -- PPO | |
| CA3660 | Other | RAILROAD MEDICARE | |
| 429966 | Other | HIGHMARK PA BLUE SHIELD | |
| 46043 | Other | CAQH | |
| 1100179 | Other | HORIZON NJ HEALTH |
Other providers in Voorhees, NJ
- Amyrath-Laye A Souradjou
- Jeanann Sousou-Coppola
- South Jersey Behavioral Health Resources, Inc.
- South Jersey Gastroenterology PA
- South Jersey Pulmonary Spec
- South Jersey Toxicology, LLC
- Melissa F Souza
- Nicole Sara Speechley
- Kelly Glenn Speich
- Christa Spence
All providers in Voorhees, NJ · Diagnostic Radiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.