NPIMap

Individual provider Active NPI

Joseph Della-Peruta, MD

  • Diagnostic Radiology Physician
  • Camden, NJ
National Provider Identifier
1912915497
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA06762200 Issued in NJ
Practice address
1600 Haddon Avenue
Camden, NJ 08103-3117
Phone
(888) 609-8116
NPI assigned
Aug 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25MA06762200 NJ Primary

Addresses

Primary practice location

1600 Haddon Avenue
Camden, NJ 08103-3117

Mailing address

PO Box 31037
Newark, NJ 07101
Phone (856) 616-8100

Other identifiers 1

IdentifierTypeStateIssuer
8485801MedicaidNJ

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
I20050824000034 NJ Practitioner - Diagnostic Radiology 9931143542 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes Imaging Associates PAGroup PAC ID 2264480235, 15 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians

Practice addresses (Care Compare)

1600 Haddon Ave
Camden, NJ 08103-3101
Phone (856) 616-8100

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

Hospital & facility affiliations

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
98.76 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ami Atlanticare LLC CurrentSince Apr 1, 2023 Accepting new patients
Sjvi LLC CurrentSince Aug 24, 2013 Accepting new patients
Atlantic Medical Imaging CurrentSince Apr 1, 2023 Accepting new patients
Lourdes Imaging Associates PA Diagnostic Radiology CurrentSince Dec 1, 1996 Accepting new patients
Brait Partnow Margolin & Sharetts MDS PA Diagnostic Radiology Past Accepting new patients
SJV Management, LLC PastSince Jul 24, 2022 Accepting new patients

Locations

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

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

200 Century Pkwy
Ste E
Mount Laurel, NJ 08054
Phone (856) 482-2800

218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

231 Van Sciver Pkwy
Willingboro, NJ 08046
Phone (609) 871-7500

231 Van Sciver Pkwy
#A
Willingboro, NJ 08046
Phone (609) 871-7500

25 Wrightstown Cookstown Rd
Wrightstown, NJ 08562
Phone (609) 444-5690

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 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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912915497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31037",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07101",
            "telephone_number": "856-616-8100",
            "fax_number": "856-616-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVENUE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033117",
            "telephone_number": "888-609-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLA-PERUTA",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06762200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8485801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.