Individual provider Active NPI

Dearon K Tufankjian, D.O.

  • Diagnostic Radiology Physician
  • Mercerville, NJ
National Provider Identifier
1902804792
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MB06669700 Issued in NJ
Practice address
8 Quakerbridge PLZ
Mercerville, NJ 08619-1255
Phone
(609) 890-0033
Fax
(609) 890-0440
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MB06669700 NJ Primary
Vascular & Interventional Radiology Physician 2085R0204X MB06669700 NJ

Addresses

Primary practice location

8 Quakerbridge PLZ
Mercerville, NJ 08619-1255

Mailing address

3535 Quakerbridge Rd
Mercerville, NJ 08619-1200
Phone (609) 890-0033

Other identifiers 1

IdentifierTypeStateIssuer
8820805MedicaidNJ

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
I20031212000062 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8022914878 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Diagnostic Imaging LLCGroup PAC ID 3779593470, 27 clinicians
Atlantic Medical ImagingGroup PAC ID 0345215141, 109 clinicians

Practice addresses (Care Compare)

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 641-7940

44 E Jimmie Leeds Rd
Suite 101
Galloway, NJ 08205-9599
Phone (609) 677-9729

Hospital & facility affiliations

  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

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
89.04 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
76.68

Merit-based Incentive Payment System (MIPS)

Final score
91.1 of 100Reported as group
Quality
89.53
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB06669700NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2009 Accepting new patients
Atlantic Medical Imaging CurrentSince Apr 1, 2023 Accepting new patients
Ami Atlanticare LLC CurrentSince Apr 1, 2023 Accepting new patients
Quakerbridge Radiology Associates PA Diagnostic Radiology Past Accepting new patients

Locations

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

3100 Hingston Ave
Ste 102
Egg Hbr Twp, NJ 08234
Phone (609) 415-2888

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

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

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

Organizations & group practices 4

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 6

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1902804792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 QUAKERBRIDGE RD",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191200",
            "telephone_number": "609-890-0033",
            "fax_number": "609-689-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 QUAKERBRIDGE PLZ",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191255",
            "telephone_number": "609-890-0033",
            "fax_number": "609-890-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFANKJIAN",
        "first_name": "DEARON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MB06669700",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "MB06669700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8820805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

Verify at the official NPI Registry.