Individual provider Active NPI

Aminot Graves-Ajayi, MD

  • Diagnostic Radiology Physician
  • Camden, NJ
National Provider Identifier
1639706351
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA12611100 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(888) 499-8779
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 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 MD488439 PA
Diagnostic Radiology Physician 2085R0202X 25MA12611100 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

3410 N Broad st
Philadelphia, PA 19140
Phone (610) 447-2000

Other practice location 2

629D Lowther Rd
Lewisberry, PA 17339-9527
Phone (717) 932-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20250701003645 PA Practitioner - Diagnostic Radiology 1759783178 Reassigns benefits to 1 organization
I20250714004140 NJ Practitioner - Diagnostic Radiology 1759783178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper University Radiology PCGroup PAC ID 6305838764, 68 clinicians
Quantum Imaging and Therapeutic Associates IncGroup PAC ID 1355254129, 92 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461

2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667

2001 Route 70 E
Cherry Hill, NJ 08003-1200
Phone (856) 396-6257

3 Cooper PLZ
Camden, NJ 08103-1438

318 S White Horse Pike
Audubon, NJ 08106-1309
Phone (856) 672-6077

6100 Main St
Voorhees, NJ 08043-4643
Phone (856) 673-4912

835 E Phil Ellena St
Philadelphia, PA 19119-1534
Phone (717) 932-5200

900 Centennial Blvd
Voorhees, NJ 08043-4637
Phone (856) 325-6580

900 Centennial Blvd E
Voorhees, NJ 08043-4637
Phone (856) 325-6505

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Upmc Memorial Hospital, York, PA, CCN 390101
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD488439PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Imaging & Therapeutic Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Cooper University Radiology, PC Diagnostic Radiology CurrentSince Jun 26, 2025 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765

Interoperability endpoints

  • Direct secure messaging: agravesajayi317639@direct.cooperhealth.edu

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1639706351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "888-499-8779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3410 N Broad st",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19140",
            "country_code": "US",
            "telephone_number": "610-447-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "629D Lowther Rd",
            "address_purpose": "LOCATION",
            "city": "Lewisberry",
            "state": "PA",
            "postal_code": "173399527",
            "country_code": "US",
            "telephone_number": "717-932-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES-AJAYI",
        "first_name": "AMINOT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD488439",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12611100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.