NPIMap

Individual provider Active NPI

Maria Clara Fernandes de Paula Tito Jorge

  • Body Imaging Physician
  • New York, NY
National Provider Identifier
1821660614
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
P105114 Issued in NY
Practice address
1275 York Ave
New York, NY 10065-6007
Phone
(212) 639-2000
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X P105114 NY Primary

Addresses

Primary practice location

1275 York Ave
New York, NY 10065-6007

Mailing address

303 E 60TH St Apt 23E
New York, NY 10022-1523
Phone (646) 531-6687

Other names 1

  • Maria Clara Fernandes de Paula Professional name

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
I20230907002809 NJ Practitioner - Diagnostic Radiology 1254700594 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flemington Radiology Associates LLCGroup PAC ID 5294145819, 68 clinicians
Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians
University Radiology at Cooper LLCGroup PAC ID 4587053699, 78 clinicians
University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians
University Radiology-Atlantic, LLCGroup PAC ID 6901059864, 144 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

Practice addresses (Care Compare)

121 Route 31
Suite 1100
Flemington, NJ 08822-5755
Phone (732) 390-0040

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

2339 Route 70 W
Cherry Hill, NJ 08002-3315
Phone (732) 390-0040

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

48 N Gilbert St
Tinton Falls, NJ 07701-4905
Phone (732) 530-5750

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
91.42 of 100Reported as group
Quality
84.03
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P105114NYMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Radiology at Trinitas, LLC CurrentSince Apr 1, 2025 Accepting new patients
MSK Bergen CurrentSince Jul 1, 2023 Accepting new patients
University Radiology Group, LLC Body Imaging CurrentSince Apr 1, 2025 Accepting new patients
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey CurrentSince Jul 1, 2023 Accepting new patients
Hillsborough Radiology Centers, LLC Body Imaging Current Accepting new patients
MSK Monmouth CurrentSince Jul 1, 2023 Accepting new patients
Flemington Radiology Associates, LLC Body Imaging CurrentSince Apr 1, 2025 Accepting new patients
Jersey Shore Imaging, LLC CurrentSince Apr 1, 2025 Accepting new patients
University Radiology-Atlantic, LLC CurrentSince Apr 1, 2025 Accepting new patients
University Radiology at Cooper, LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000

2339 Route 70 W
Cherry Hill, NJ 08002
Phone (856) 406-4080

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

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

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

121 State Route 31
Ste 1100
Flemington, NJ 08822
Phone (908) 782-4700

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

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

225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336

400 W Route 38
Ste 2300
Moorestown, NJ 08057

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

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

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

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1821660614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E 60TH ST APT 23E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221523",
            "telephone_number": "646-531-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES DE PAULA TITO JORGE",
        "first_name": "MARIA CLARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "P105114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA CLARA",
            "last_name": "FERNANDES DE PAULA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.