NPIMap

Individual provider Active NPI

Stanton Kofsky, M.D.

  • Diagnostic Radiology Physician
  • Camden, NJ
National Provider Identifier
1598753147
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD042406L Issued in PA
Practice address
1600 Haddon Ave
Camden, NJ 08103-3101
Phone
(877) 277-8547
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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 MD042406L PA Primary

Addresses

Primary practice location

1600 Haddon Ave
Camden, NJ 08103-3101

Mailing address

PO Box 9500
Philadelphia, PA 19195-2840

Other identifiers 1

IdentifierTypeStateIssuer
0014224070025MedicaidPA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031211000693 NJ Practitioner - Diagnostic Radiology 6709782410 Reassigns benefits to 3 organizations
I20040121000427 PA Practitioner - Diagnostic Radiology 6709782410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes Imaging Associates PAGroup PAC ID 2264480235, 15 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians

Practice addresses (Care Compare)

1600 Haddon Ave
Camden, NJ 08103-3101
Phone (856) 616-8100

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Group of Abington PC Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jul 11, 2016 Accepting new patients
Lourdes Imaging Associates PA Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
Open MRI of Allentown LLC Diagnostic Radiology Past Accepting new patients
Tristate Imaging Consultants, LLC Diagnostic Radiology Past Accepting new patients
University Open MRI PC Past Accepting new patients
Delaware Open MRI Radiology Associates LLC Diagnostic Radiology Past Accepting new patients
Jeanes Radiology Associates LLC Diagnostic Radiology Past Accepting new patients

Locations

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

1 Brace Rd
Cherry Hill, NJ 08034
Phone (856) 470-9191

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

25 Wrightstown Cookstown Rd
Wrightstown, NJ 08562
Phone (609) 444-5690

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

2701 Blair Mill Rd
Ste 9
Willow Grove, PA 19090
Phone (215) 481-3377

Interoperability endpoints

  • Direct secure messaging: stanton.kofsky@direct.bayonnemedicalcenter.md

Organizations & group practices 12

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1598753147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033101",
            "telephone_number": "877-277-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFSKY",
        "first_name": "STANTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD042406L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014224070025",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.