Individual provider Active NPI

Samir S Tilak, M.D.

  • Diagnostic Radiology Physician
  • Woodbury, NJ
National Provider Identifier
1760443519
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07237300 Issued in NJ
Practice address
748 Kings Hwy
Woodbury, NJ 08096-3157
Phone
(856) 848-4998
Fax
(856) 848-9288
NPI assigned
Mar 31, 2006
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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 25MA07237300 NJ Primary

Addresses

Primary practice location

748 Kings Hwy
Woodbury, NJ 08096-3157

Mailing address

1307 White Horse Rd
Suite a-102
Voorhees, NJ 08043-2176
Phone (856) 374-4031

Other practice location 1

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 294-2934

Other identifiers 1

IdentifierTypeStateIssuer
8539502MedicaidNJ

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
I20040113000203 NJ Practitioner - Diagnostic Radiology 8224938493 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians
Larchmont Imaging AssociatesGroup PAC ID 5193762433, 54 clinicians

Practice addresses (Care Compare)

100 Carnie Blvd
Suite B5
Voorhees, NJ 08043-4514
Phone (888) 909-7572

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

210 Ark Rd
Mount Laurel, NJ 08054-3188
Phone (609) 261-4500

Hospital & facility affiliations

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Larchmont Imaging Associates Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Lourdes Imaging Associates PA Diagnostic Radiology Past 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
Booth Radiology Associates PA Diagnostic Radiology Past Accepting new patients

Locations

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

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

748 Kings Hwy
West Deptford, NJ 08096
Phone (856) 848-4998

52 W Red Bank Ave
Ste 19
Woodbury, NJ 08096
Phone (856) 686-7290

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1760443519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WHITE HORSE RD",
            "address_2": "SUITE A-102",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432176",
            "telephone_number": "856-374-4031",
            "fax_number": "856-784-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 KINGS HWY",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963157",
            "telephone_number": "856-848-4998",
            "fax_number": "856-848-9288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Main St",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282537",
            "country_code": "US",
            "telephone_number": "732-294-2934",
            "fax_number": "732-294-2582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILAK",
        "first_name": "SAMIR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07237300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8539502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.