Individual provider Active NPI

Michael C. Brodsky, M.D.

  • Diagnostic Radiology Physician
  • Mount Laurel, NJ
National Provider Identifier
1487656997
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD425831 Issued in PA
Practice address
210 Ark Rd
Mount Laurel, NJ 08054-3188
Phone
(856) 778-8860
Fax
(609) 261-4180
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 25MA07872100 NJ
Diagnostic Radiology Physician 2085R0202X MD425831 PA Primary

Addresses

Primary practice location

210 Ark Rd
Mount Laurel, NJ 08054-3188

Mailing address

1295 Route 38
P.O. Box 479
Hainesport, NJ 08036-2702
Phone (609) 261-7017

Other identifiers 1

IdentifierTypeStateIssuer
0068594MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050708000081 NJ Practitioner - Diagnostic Radiology 4385619162 Reassigns benefits to 3 organizations
I20241021002231 PA Practitioner - Diagnostic Radiology 4385619162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Duke University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Radiology Associates P a 202 clinicians
Radiology Associates of Burlington County P a 153 clinicians
Larchmont Imaging Associates 54 clinicians

Practice addresses (Care Compare)

100 Carnie Blvd
Suite A4
Voorhees, NJ 08043-4513
Phone (888) 909-7572

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 267-0700

210 Ark Rd
Mount Laurel, NJ 08054-3188
Phone (609) 261-4500

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.17 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425831PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Larchmont Imaging Associates Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Scranton Hospitalist Physician Services LLC Diagnostic Radiology PastSince May 7, 2025 Accepting new patients
Lehigh Valley Diagnostic Imaging Past Accepting new patients

Locations (25 of 79)

315 Route 70 E
Ste B
Cherry Hill, NJ 08034
Phone (856) 375-6240

401 Young Ave
Moorestown, NJ 08057
Phone (609) 261-4500

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

400 Fellowship Rd
Ste 200
Mount Laurel, NJ 08054

210 Ark Rd
Mount Laurel, NJ 08054
Phone (609) 261-4500

100 Carnie Blvd
Ste B5
Voorhees, NJ 08043
Phone (856) 751-0123

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

1627 Chew St
Allentown, PA 18102
Phone (610) 969-2388

1250 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 435-1003

250 Cetronia Rd
Ste 101
Allentown, PA 18104
Phone (610) 674-4941

1101 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 240-4073

4815 W Tilghman St
Allentown, PA 18104
Phone (610) 402-3903

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1791 Airport Rd
Allentown, PA 18109
Phone (484) 240-8195

798 Hausman Rd
Allentown, PA 18104
Phone (610) 530-1515

1503 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 871-9110

1230 S Cedar Crest Blvd
Ste 104
Allentown, PA 18103
Phone (610) 402-1070

1240 S Cedar Crest Blvd
Ste 203
Allentown, PA 18103
Phone (610) 402-0690

1230 S Cedar Crest Blvd
Ste 103
Allentown, PA 18103
Phone (610) 402-4691

1220 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 740-0400

1621 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 402-3300

1247 S Cedar Crest Blvd
Ste 102
Allentown, PA 18103
Phone (610) 402-1022

1243 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-9230

1250 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 435-1600

Organizations & group practices 10

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1487656997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 ROUTE 38",
            "address_2": "P.O. BOX 479",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362702",
            "telephone_number": "609-261-7017",
            "fax_number": "609-261-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ARK RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543188",
            "telephone_number": "856-778-8860",
            "fax_number": "609-261-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07872100",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD425831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068594",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.