NPIMap

Individual provider Active NPI

Philip Shev Lakritz, MD

  • Vascular & Interventional Radiology Physician
  • Metuchen, NJ
National Provider Identifier
1699750653
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA06459700 Issued in NJ
Practice address
264 Amboy Ave
University Radiology Group PC
Metuchen, NJ 08840-2441
Phone
(732) 548-2322
Fax
(732) 548-3392
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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 25MA06459700 NJ
Vascular & Interventional Radiology Physician 2085R0204X 25MA06459700 NJ Primary

Addresses

Primary practice location

264 Amboy Ave
University Radiology Group PC
Metuchen, NJ 08840-2441

Mailing address

579A Cranbury Rd
University Radiology Group PC
East Brunswick, NJ 08816-5426
Phone (732) 390-0040

Other identifiers 2

IdentifierTypeStateIssuer
02197166MedicaidNY
7418809MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000046 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2961439336 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians
University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

Practice addresses (Care Compare)

2100 Corlies Ave
Neptune, NJ 07753-6102
Phone (732) 988-1234

415 Morris Ave
Elizabeth, NJ 07208-3612
Phone (908) 351-7600

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.21 of 100Reported as group
Quality
95.54
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

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
95.9
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Nov 1, 2012 Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince May 1, 2012 Accepting new patients
Rwjuh Imaging at Plum Street, LLC Diagnostic Radiology CurrentSince Mar 2, 2009 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients

Locations

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

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

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

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

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

105 Raider Blvd
Hillsborough, NJ 08844
Phone (908) 359-9331

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

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

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

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

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

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

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

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 11

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1699750653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "address_2": "UNIVERSITY RADIOLOGY GROUP PC",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 AMBOY AVE",
            "address_2": "UNIVERSITY RADIOLOGY GROUP PC",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402441",
            "telephone_number": "732-548-2322",
            "fax_number": "732-548-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKRITZ",
        "first_name": "PHILIP",
        "middle_name": "SHEV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06459700",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA06459700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02197166",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7418809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.