Matthew C. Difazio, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA06727100 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 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 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

Specialty

Diagnostic Radiology

Education

University of Michigan Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Princeton Radiology Associates PA 57 clinicians

University Radiology Group LLC 239 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

Merit-based Incentive Payment System (MIPS)

Final score

89.93 of 100Reported as group

Quality

95.96

Improvement activities

40

Cost

73.85

Merit-based Incentive Payment System (MIPS)

Final score

88.17 of 100Reported as group

Quality

93.45

Improvement activities

40

Cost

72.58

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Princeton Radiology Associates, P.a.

  • Diagnostic Radiology Physician
  • Jamesburg, NJ
  • NPI 1063527232

  Diagnostic Radiology, NJ, PA

  Medicare reassignment Care Compare group NPD
• University Radiology Group, LLC

  • Diagnostic Radiology Physician
  • East Brunswick, NJ
  • NPI 1154367803

  NJ

  Medicare reassignment Care Compare group
• Radiation Oncology Consultants of Pennsylvania, PC

  • Radiation Oncology Physician
  • Langhorne, PA
  • NPI 1588674469
  NPD (past)

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

• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  • General Acute Care Hospital
  • Plainsboro, NJ
  • NPI 1689714255

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1649203191",
    "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": "DIFAZIO",
        "first_name": "MATTHEW",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06727100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JV879709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Kendall Park, NJ
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.