Individual provider Active NPI

John Ghazi, M.D.

  • Diagnostic Radiology Physician
  • Kendall Park, NJ
National Provider Identifier
1548288905
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA05664600 Issued in NJ
Practice address
3674 Route 27
Princeton Radiology Associates, P.a., Department B
Kendall Park, NJ 08824
Phone
(732) 821-5563
Fax
(732) 821-6675
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA05664600 NJ Primary

Addresses

Primary practice location

3674 Route 27
Princeton Radiology Associates, P.a., Department B
Kendall Park, NJ 08824

Mailing address

3674 Route 27
Princeton Radiology Associates, P.a., Department B
Kendall Park, NJ 08824
Phone (732) 821-5563

Other identifiers 1

IdentifierTypeStateIssuer
5352606MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000893 NJ Practitioner - Diagnostic Radiology 6103811369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.17 of 100Reported as group
Quality
93.45
Improvement activities
40
Cost
72.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Radiology Associates, P.a. Diagnostic Radiology CurrentSince May 11, 1992 Accepting new patients
Radiation Oncology Consultants of Pennsylvania, PC Past Accepting new patients

Locations

375 Route 206
#1
Hillsborough, NJ 08844
Phone (908) 874-7600

375 Route 206
Hillsborough, NJ 08844
Phone 73282155631242

3674 State Route 27
#B
Kendall Park, NJ 08824

3674 State Route 27
Ste D
Kendall Park, NJ 08824
Phone (732) 821-4800

9 Centre Dr
Monroe Township, NJ 08831
Phone (609) 395-7615

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

619 Alexander Rd
Ste 203
Princeton, NJ 08540
Phone (508) 951-4138

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1548288905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3674 ROUTE 27",
            "address_2": "PRINCETON RADIOLOGY ASSOCIATES, P.A., DEPARTMENT B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-821-5563",
            "fax_number": "732-821-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 ROUTE 27",
            "address_2": "PRINCETON RADIOLOGY ASSOCIATES, P.A., DEPARTMENT B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-821-5563",
            "fax_number": "732-821-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05664600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5352606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

Verify at the official NPI Registry.