NPIMap

Individual provider Active NPI

Andrew Michael Gargiulo Jr., M.D.

  • Diagnostic Radiology Physician
  • Mount Laurel, NJ
National Provider Identifier
1699805705
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA09029200 Issued in NJ
Practice address
210 Ark Road
Mount Laurel, NJ 08054
Phone
(609) 914-7017
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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 25MA09029200 NJ Primary

Addresses

Primary practice location

210 Ark Road
Mount Laurel, NJ 08054

Mailing address

1295 Route 38 West
PO Box 479
Hainesport, NJ 08036-0479
Phone (609) 914-7017

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
I20130809000570 NJ Practitioner - Diagnostic Radiology 2860640323 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

315 E Summit Ave
Haddonfield, NJ 08033-1621
Phone (717) 932-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as group
Quality
98.86
Improvement activities
40
Cost
77.42

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.17 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Current Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Sep 3, 2013 Accepting new patients
Atlantic Medical Imaging CurrentSince Aug 1, 2024 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Ami Atlanticare LLC CurrentSince Aug 1, 2024 Accepting new patients
Larchmont Imaging Associates Diagnostic Radiology CurrentSince Sep 3, 2013 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

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

1295 Route 38
Hainesport, NJ 08036
Phone (609) 261-7017

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

103 Old Marlton Pike
Ste 114
Medford, NJ 08055

401 Young Ave
Moorestown, NJ 08057
Phone (609) 261-4500

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

210 Ark Rd
Mount Laurel, NJ 08054
Phone (609) 261-4500

400 Fellowship Rd
Ste 200
Mount Laurel, NJ 08054

2848 S Delsea Dr
Vineland, NJ 08360
Phone (856) 696-2010

100 Carnie Blvd
Ste B5
Voorhees, NJ 08043
Phone (856) 751-0123

1307 White Horse Rd
Ste A102
Voorhees, NJ 08043
Phone (856) 374-4031

100 Carnie Blvd
Ste A4
Voorhees, NJ 08043
Phone (856) 751-0123

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

815 Sir Thomas Ct
Ste 100
Harrisburg, PA 17109
Phone (717) 652-3000

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

Organizations & group practices 10

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1699805705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 ROUTE 38 WEST",
            "address_2": "PO BOX 479",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080360479",
            "telephone_number": "609-914-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ARK ROAD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "609-914-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGIULO",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09029200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.