Individual provider Active NPI

Robert Principato, M.D.

  • Vascular & Interventional Radiology Physician
  • Cherry Hill, NJ
National Provider Identifier
1922020262
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MB05487400 Issued in NJ
Practice address
2201 Chapel Ave W
Radiology Department
Cherry Hill, NJ 08002-2048
Phone
(856) 661-5473
Fax
(856) 661-5470
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OS006396E PA
Diagnostic Radiology Physician 2085R0202X 25MB05487400 NJ
Vascular & Interventional Radiology Physician 2085R0204X 25MB05487400 NJ Primary

Addresses

Primary practice location

2201 Chapel Ave W
Radiology Department
Cherry Hill, NJ 08002-2048

Mailing address

1001 Briggs Rd
Suite 210
Mount Laurel, NJ 08054-4100
Phone (856) 231-4774

Other identifiers 1

IdentifierTypeStateIssuer
1783106MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL, MI3 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
I20050718000050 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5698660330 Reassigns benefits to 1 organization
I20220115000117 FL Practitioner - Diagnostic Radiology 5698660330 Reassigns benefits to 1 organization
I20230425002727 MI Practitioner - Interventional Radiology 5698660330 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc CurrentSince Apr 24, 2023 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Apr 24, 2023 Accepting new patients
DLP Marquette Physician Practices Inc Current Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Oct 14, 2021 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Oct 14, 2021 Accepting new patients
Pulse Vascular, LLC Vascular & Interventional Radiology CurrentSince Apr 1, 2023 Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Univ of Penn Community Radiology Diagnostic Radiology Past Accepting new patients

Locations

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

850 W Baraga Ave
Ste 20
Marquette, MI 49855
Phone (906) 449-3440

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1922020262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BRIGGS RD",
            "address_2": "SUITE 210",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544100",
            "telephone_number": "856-231-4774",
            "fax_number": "856-231-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-661-5473",
            "fax_number": "856-661-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCIPATO",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OS006396E",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB05487400",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MB05487400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1783106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.