Organization Active NPI

Advanced Radiology of Riverwinds, LLC

  • Diagnostic Radiology Physician
  • Marlton, NJ
National Provider Identifier
1669527032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MB06260400 Issued in NJ
Legal business name
ADVANCED RADIOLOGY OF RIVERWINDS, LLC
Practice address
100 Brick Rd
Suite 100
Marlton, NJ 08053-2146
Phone
(856) 415-0413
Fax
(856) 985-9061
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent A. Jarrett, M.D.
Title
President
Phone
(856) 983-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MB06260400 NJ Primary

Addresses

Primary practice location

100 Brick Rd
Suite 100
Marlton, NJ 08053-2146

Mailing address

100 Brick Rd
Suite 100
Marlton, NJ 08053-2146
Phone (856) 415-0413

National Provider Directory

National Provider Directory

Locations

100 Brick Rd
Ste 100
Marlton, NJ 08053
Phone (856) 415-0413

204 Grove Ave
Ste F
West Deptford, NJ 08086
Phone (856) 251-9100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669527032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRICK RD",
            "address_2": "SUITE 100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532146",
            "telephone_number": "856-415-0413",
            "fax_number": "856-985-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRICK RD",
            "address_2": "SUITE 100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532146",
            "telephone_number": "856-415-0413",
            "fax_number": "856-985-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RADIOLOGY OF RIVERWINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-983-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB06260400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.