NPIMap

Organization Active NPI

Booth Radiology Associates PA

  • Diagnostic Radiology Physician
  • Woodbury, NJ
National Provider Identifier
1851399984
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23313 Issued in NJ
Legal business name
BOOTH RADIOLOGY ASSOCIATES PA
Practice address
748 Kings Hwy
Woodbury, NJ 08096-3157
Phone
(856) 848-4998
Fax
(856) 848-9288
NPI assigned
Jul 12, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Brown
Title
Office Manager
Phone
(856) 848-4998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 23313 NJ Primary

Addresses

Primary practice location

748 Kings Hwy
Woodbury, NJ 08096-3157

Mailing address

PO Box 344
Woodbury, NJ 08096-7344
Phone (856) 848-4998

Other identifiers 1

IdentifierTypeStateIssuer
2599503MedicaidNJ

National Provider Directory

National Provider Directory

Locations

105 Kings Way W
Sewell, NJ 08080
Phone (856) 589-6646

113 E Laurel Rd
Stratford, NJ 08084
Phone (856) 325-3737

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

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851399984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080967344",
            "telephone_number": "856-848-4998",
            "fax_number": "856-848-9288"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "BOOTH RADIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-848-4998"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "23313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2599503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.