Individual provider Active NPI

Eugene J Klifto, DO

  • Specialist
  • Camden, NJ
National Provider Identifier
1689609083
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1600 Haddon Ave
Camden, NJ 08103-3101
Phone
(856) 616-8100
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 25MB03916900 NJ
Specialist 174400000X Primary

Addresses

Primary practice location

1600 Haddon Ave
Camden, NJ 08103-3101

Mailing address

PO Box 31037
Newark, NJ 07101-0130
Phone (856) 616-8100

Other identifiers 1

IdentifierTypeStateIssuer
1870106MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040506001035 NJ Practitioner - Diagnostic Radiology 7214926252 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Philadelphia College of Osteopathic Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes Imaging Associates PAGroup PAC ID 2264480235, 15 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians

Practice addresses (Care Compare)

1600 Haddon Ave
Camden, NJ 08103-3101
Phone (856) 616-8100

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 267-0700

Hospital & facility affiliations

  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Merit-based Incentive Payment System (MIPS)

Final score
98.76 of 100Reported as group
Quality
85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB03916900NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Radiology Group, LLC Diagnostic Radiology CurrentSince Feb 15, 2023 Accepting new patients
Atlantic Medical Imaging Specialist CurrentSince Apr 1, 2023 Accepting new patients
Hillsborough Radiology Centers, LLC Diagnostic Radiology Current Accepting new patients
Lourdes Imaging Associates PA Diagnostic Radiology CurrentSince Jul 1, 2006 Accepting new patients
Ami Atlanticare LLC CurrentSince Apr 1, 2023 Accepting new patients
Radiology Associates of New Jersey PC Diagnostic Radiology Past Accepting new patients
Excalibur Medical Imaging, LLC Diagnostic Radiology Past Accepting new patients
Heights Imaging Associates, PA Diagnostic Radiology Past Accepting new patients

Locations (25 of 26)

1 Robertson Dr
Ste 16
Bedminster, NJ 07921
Phone (908) 234-0205

33 Monroe St
Bridgewater, NJ 08807
Phone (908) 725-1291

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

1 Brace Rd
Cherry Hill, NJ 08034
Phone (856) 470-9191

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

3900 Park Ave
Ste 107
Edison, NJ 08820
Phone (732) 546-6800

500 Grand Ave
Englewood, NJ 07631
Phone (201) 541-0440

833 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-2334

44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

375 US Highway 206
Hillsborough, NJ 08844

210 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 486-1111

517 Route 72 W
Manahawkin, NJ 08050
Phone (609) 384-7729

2315 Route 34
Ste C
Manasquan, NJ 08736
Phone (732) 974-0404

2130 Millburn Ave
Ste A8
Maplewood, NJ 07040
Phone (732) 383-4166

264 Amboy Ave
Metuchen, NJ 08840
Phone (732) 548-2322

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

235 Franklin Ave
Nutley, NJ 07110
Phone (973) 235-9090

2128 State Route 35
Oakhurst, NJ 07755
Phone (732) 493-8444

3822 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 701-4848

30 E Maryland Ave
Somers Point, NJ 08244
Phone (609) 653-0209

75 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-0060

699 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 836-2500

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Organizations & group practices 9

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1689609083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31037",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071010130",
            "telephone_number": "856-616-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033101",
            "telephone_number": "856-616-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIFTO",
        "first_name": "EUGENE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB03916900",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1870106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.