Individual provider Active NPI

William A. Parker, M.D.

  • Diagnostic Radiology Physician
  • Kendall Park, NJ
National Provider Identifier
1649280314
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07085400 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
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 25MA07085400 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
7950802MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 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
I20050106000597 NJ Practitioner - Diagnostic Radiology 4789632712 Reassigns benefits to 1 organization
I20230615004043 TX Practitioner - Diagnostic Radiology 4789632712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Plains Radiological Association LLPGroup PAC ID 9739172479, 36 clinicians
Open Air Imaging Center LLPGroup PAC ID 9739258310, 25 clinicians

Practice addresses (Care Compare)

1901 Medi Park Dr
Suite 2050
Amarillo, TX 79106-2109
Phone (806) 355-3352

7400 Wallace Blvd
Amarillo, TX 79106-1818
Phone (806) 353-8333

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
  • Memorial Hospital Hospital, Dumas, TX, CCN 451386
  • Cogdell Memorial Hospital Hospital, Snyder, TX, CCN 451384

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 Jun 19, 2000 Accepting new patients
High Plains Radiological Association LLP Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Open Air Imaging Center, LLP CurrentSince Jun 1, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Radiation Oncology Consultants of Pennsylvania, PC Past Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology Past Accepting new patients

Locations

375 Route 206
Hillsborough, NJ 08844
Phone 73282155631242

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

3674 State Route 27
#B
Kendall Park, NJ 08824

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

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1901 Medi Park Dr
Ste 2050
Amarillo, TX 79106
Phone (806) 355-3352

7400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-8480

Organizations & group practices 6

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1649280314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3674 ROUTE 27, PRINCETON RADIOLOGY ASSOCIATES, P.A.",
            "address_2": "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, PRINCETON RADIOLOGY ASSOCIATES, P.A.",
            "address_2": "DEPARTMENT B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-821-5563",
            "fax_number": "732-821-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "WILLIAM",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07085400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7950802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

Verify at the official NPI Registry.