Individual provider Active NPI

Joshua Kellerman, M.D.

  • Diagnostic Radiology Physician
  • Mount Laurel, NJ
National Provider Identifier
1598906000
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA08671300 Issued in NJ
Practice address
210 Ark Rd
Mount Laurel, NJ 08054-3188
Phone
(609) 261-4500
NPI assigned
Mar 12, 2009
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 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 25MA08671300 NJ Primary
Diagnostic Radiology Physician 2085R0202X 62018 TN

Addresses

Primary practice location

210 Ark Rd
Mount Laurel, NJ 08054-3188

Mailing address

PO Box 479
1295 RT. 38 West
Hainesport, NJ 08036-0479
Phone (609) 261-7017

Other practice location 1

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 588-8005

Other identifiers 2

IdentifierTypeStateIssuer
0243655MedicaidNJ
Q107694MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TN2 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
I20101004000649 NJ Practitioner - Diagnostic Radiology 8426240805 Reassigns benefits to 9 organizations
I20251201002631 TN Practitioner - Diagnostic Radiology 8426240805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers New Jersey Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Imaging LLCGroup PAC ID 8123312055, 68 clinicians
Health Village Imaging LLCGroup PAC ID 9537263223, 27 clinicians
Advanced Shore Imaging AssociatesGroup PAC ID 1254649395, 18 clinicians
Eoh Acquisition Group, LLCGroup PAC ID 4082009717, 38 clinicians
Advanced Radiology SolutionsGroup PAC ID 5597985507, 36 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

1301 Route 72 W
Suite 100
Manahawkin, NJ 08050-2483
Phone (609) 660-9729

2605 Shore Rd
Northfield, NJ 08225-2136
Phone (732) 678-0087

279 Mathistown Rd
Little Egg Harbor TWP, NJ 08087-4021
Phone (609) 812-1001

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 414-3473

649 Shore Rd
Somers Point, NJ 08244-2449
Phone (609) 653-3620

7211 Wellington Dr
Suite 101
Knoxville, TN 37919-5968
Phone (865) 558-9822

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08671300NJMDDiagnostic Radiology Physician
62018TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eoh Acquisition Group, LLC CurrentSince Feb 2, 2025 Accepting new patients
East Brunswick Imaging Center LLC CurrentSince May 3, 2023 Accepting new patients
Vsi Rad LLC Diagnostic Radiology CurrentSince Jan 19, 2025 Accepting new patients
Advanced Shore Imaging Associates Diagnostic Radiology CurrentSince Nov 1, 2015 Accepting new patients
Health Village Imaging, LLC CurrentSince Jul 1, 2013 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Feb 15, 2023 Accepting new patients
Advanced Radiology Solutions Diagnostic Radiology CurrentSince Sep 1, 2014 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 18, 2025 Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Feb 2, 2025 Accepting new patients
Eoh Acquisition Group, LLC Current Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 18, 2025 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Jun 28, 2024 Accepting new patients
Southwest Medical Associates, Inc Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince May 8, 2025 Accepting new patients
Coastal Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology PastSince Aug 28, 2022 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology PastSince Aug 1, 2024 Accepting new patients
East Brunswick Imaging Associates LLC Past Accepting new patients
Red Bank Radiologists, PA Diagnostic Radiology Past Accepting new patients
3G Radiology, LLC Diagnostic Radiology Past Accepting new patients
Larchmont Imaging Associates Diagnostic Radiology Past Accepting new patients

Locations

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

647 Route 18
Ste W
East Brunswick, NJ 08816
Phone (732) 613-6300

647 Route 18
Ste W
East Brunswick, NJ 08816
Phone (732) 613-6300

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

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

27 S Cooks Bridge Rd
Ste 1-6
Jackson, NJ 08527
Phone (732) 497-1200

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

1215 Route 70
Ste 1003
Lakewood, NJ 08701
Phone (732) 370-9902

279 Mathistown Rd
Little Egg Harbor Twp, NJ 08087
Phone (609) 296-1101

1301 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-0483

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

2605 Shore Rd
Ste 101
Northfield, NJ 08225
Phone (732) 429-4199

914 Haven Ave
Ocean City, NJ 08226
Phone (609) 391-8105

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

649 Shore Rd
Somers Point, NJ 08244
Phone (609) 365-6239

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

1975 State Route 34
Wall Township, NJ 07719
Phone (732) 974-8060

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

7211 Wellington Dr
Ste 101
Knoxville, TN 37919
Phone (865) 588-8005

Interoperability endpoints

  • Direct secure messaging: joshua.kellerman@direct.hackensackmeridian.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 8

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": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1598906000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "address_2": "1295 RT. 38 WEST",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080360479",
            "telephone_number": "609-261-7017"
        },
        {
            "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": "609-261-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7211 Wellington Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195968",
            "country_code": "US",
            "telephone_number": "865-588-8005",
            "fax_number": "865-588-7716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLERMAN",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08671300",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "62018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0243655",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q107694",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.