Individual provider Active NPI

Salvatore V Raccuia, M.D.

  • Diagnostic Radiology Physician
  • Pennington, NJ
National Provider Identifier
1821085663
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07886900 Issued in NJ
Practice address
1 Capital Way
Pennington, NJ 08534-2520
Phone
(609) 303-4000
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 235110 NY
Diagnostic Radiology Physician 2085R0202X MD489204 PA
Diagnostic Radiology Physician 2085R0202X 25MA07886900 NJ Primary

Addresses

Primary practice location

1 Capital Way
Pennington, NJ 08534-2520

Mailing address

PO Box 2004
East Syracuse, NY 13057-4504
Phone (315) 362-5285

Other practice location 1

241 North Rd # A
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

Other practice location 2

100 Woods Rd # A
Valhalla, NY 10595-1530
Phone (914) 493-7000

Other practice location 3

150 55th St
Brooklyn, NY 11220-2559
Phone (718) 530-7400

Other practice location 4

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-2719

Other practice location 5

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other practice location 6

540 Woodbourne Rd
Langhorne, PA 19047-1835
Phone (877) 244-6266

Other identifiers 2

IdentifierTypeStateIssuer
03095916MedicaidNY
235110OtherNYNY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050714000380 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3476589417 Reassigns benefits to 3 organizations
I20100628000760 NY Practitioner - Diagnostic Radiology 3476589417 Reassigns benefits to 3 organizations
I20250403000039 PA Practitioner - Diagnostic Radiology 3476589417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Hospital & facility affiliations

  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07886900NJMDDiagnostic Radiology Physician
MD489204PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Center for Vein Restoration NJ LLC CurrentSince Apr 1, 2016 Accepting new patients
Comprehensive Imaging and Diagnostics Diagnostic Radiology CurrentSince Mar 27, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Aug 15, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jan 1, 2017 Accepting new patients
VR Physician for Vein Restoration CurrentSince Jul 1, 2016 Accepting new patients
Medical Imaging Center LLP CurrentSince Jan 1, 2022 Accepting new patients
VR Physician for Vein Restoration CurrentSince Jul 1, 2016 Accepting new patients
Capital Health Multispecialty Group Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Center for Vein Restoration NJ LLC CurrentSince Apr 1, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jan 1, 2017 Accepting new patients
Center for Vein Restoration CT LLC Past Accepting new patients
Holmdel Imaging LLC Diagnostic Radiology PastSince Oct 1, 2003 Accepting new patients
Barden Thorwarth Daughtridge LTD Diagnostic Radiology Past Accepting new patients
Red Bank Radiologists, PA Diagnostic Radiology Past Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

211 Essex St
Ste 403
Hackensack, NJ 07601
Phone (201) 646-0044

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1015 New Rd
Ste D
Northfield, NJ 08225

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

37 W Garden St
Ste 107
Auburn, NY 13021
Phone (315) 255-2828

5000 Brittonfield Pkwy
Ste A114
East Syracuse, NY 13057
Phone (315) 472-4701

241 North Rd
#A
Poughkeepsie, NY 12601
Phone (845) 483-5000

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

700 White Plains Rd
Ste 241
Scarsdale, NY 10583
Phone (914) 472-2222

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

725 Irving Ave
Ste 209
Syracuse, NY 13210
Phone (315) 472-4364

739 Irving Ave
Ste 150
Syracuse, NY 13210
Phone (315) 470-2985

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

100 Woods Rd
#A
Valhalla, NY 10595

540 Woodbourne Rd
Langhorne, PA 19047
Phone (215) 750-6611

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: salvatore.raccuia.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1821085663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2004",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574504",
            "telephone_number": "315-362-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAPITAL WAY",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342520",
            "telephone_number": "609-303-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 North Rd # A",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011154",
            "country_code": "US",
            "telephone_number": "845-483-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Woods Rd # A",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 55th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112202559",
            "country_code": "US",
            "telephone_number": "718-530-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101602",
            "country_code": "US",
            "telephone_number": "315-470-2719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Woodbourne Rd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471835",
            "country_code": "US",
            "telephone_number": "877-244-6266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACCUIA",
        "first_name": "SALVATORE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "235110",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD489204",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07886900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03095916",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "235110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.