NPIMap

Individual provider Active NPI

Arthur J Greene, MD

  • Diagnostic Radiology Physician
  • Maple Shade, NJ
National Provider Identifier
1508834359
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA04604900 Issued in NJ
Practice address
1000 S Lenola Rd
Ste 105
Maple Shade, NJ 08052-1630
Phone
(856) 482-2900
Fax
(856) 482-5127
NPI assigned
Mar 9, 2006
Last updated
May 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2016

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 25MA04604900 NJ Primary
Diagnostic Radiology Physician 2085R0202X 4301079044 MI

Addresses

Primary practice location

1000 S Lenola Rd
Ste 105
Maple Shade, NJ 08052-1630

Mailing address

1101 Kings Hwy N
Suite 104
Cherry Hill, NJ 08034-1912
Phone (856) 482-2900

Other identifiers 2

IdentifierTypeStateIssuer
G8865226OtherWAMEDICARE - WA
3105211271OtherMIBCBS OF MICHIGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051025000510 WA Practitioner - Diagnostic Radiology 3577469097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Nat Washington Way
Columbia Basin Hospital
Ephrata, WA 98823-1997
Phone (509) 754-4631

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301079044MIMDDiagnostic Radiology Physician
25MA04604900NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grant County Public Hospital District No. 3 Current Accepting new patients
Arkansas Diagnostic Center, PA Past Accepting new patients
Advanced Diagnostic Imaging of New Jersey Inc Past Accepting new patients
Excalibur Medical Imaging, LLC Diagnostic Radiology PastSince Apr 1, 2003 Accepting new patients
Excalibur Healthcare Past Accepting new patients
Arkansas Diagnostic Center Past Accepting new patients

Locations

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1508834359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 KINGS HWY N",
            "address_2": "SUITE 104",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341912",
            "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": "1000 S LENOLA RD",
            "address_2": "STE 105",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080521630",
            "telephone_number": "856-482-2900",
            "fax_number": "856-482-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ARTHUR",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA04604900",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301079044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - WA",
            "identifier": "G8865226",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "3105211271",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Shade, NJ

Sources for this page

Verify at the official NPI Registry.