Individual provider Active NPI

Eli Fred Dweck, M.D.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1922087097
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD047391L Issued in PA
Practice address
10800 Knights Rd
Attn: Radiology
Philadelphia, PA 19114-4200
Phone
(215) 612-2610
Fax
(215) 612-5077
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD047391L PA Primary
Nuclear Radiology Physician 2085N0904X MD047391L PA
Diagnostic Radiology Physician 2085R0202X 25MA08175000 NJ
Nuclear Radiology Physician 2085N0904X 25MA08175000 NJ

Addresses

Primary practice location

10800 Knights Rd
Attn: Radiology
Philadelphia, PA 19114-4200

Mailing address

PO Box 782743
Attn: Credentialing
Philadelphia, PA 19178-2743
Phone (602) 910-6887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070222000311 NJ Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 9436051562 Reassigns benefits to 3 organizations
I20101104001125 PA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 9436051562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Washington University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University Radiology Associates LLCGroup PAC ID 7315845708, shared by 3 NPIs, 110 clinicians
Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, 387 clinicians

Practice addresses (Care Compare)

10160 Bustleton Ave E
Jefferson Outpatient Imaging
Philadelphia, PA 19116-3749
Phone (215) 503-4900

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4811

2301 S Broad St
Philadelphia, PA 19148-3542

2451 Grant Ave
Philadelphia, PA 19114-1031
Phone (215) 464-8050

380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 949-5111

4900 Frankford Ave
Philadelphia, PA 19124-2618
Phone (215) 831-2063

999 Route 73 N 101
Jefferson Outpatient Imaging
Marlton, NJ 08053-1227
Phone (856) 424-2929

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047391LPAMDNuclear Radiology Physician
25MA08175000NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Jefferson University Physicians Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Jefferson University Physicians of New Jersey, P.C. CurrentSince May 10, 2022 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Dec 8, 2020 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Dec 8, 2020 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Jul 1, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology Current Accepting new patients
Jefferson University Radiology Associates LLC Diagnostic Radiology Current Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Montgomery County Advanced Medical Imaging, LLC CurrentSince Oct 1, 2024 Accepting new patients
MRI Physician Associates, PC Diagnostic Radiology PastSince Jul 1, 2001 Accepting new patients
Best Behavioral Healthcare, Inc. PastSince Oct 18, 2009 Accepting new patients

Locations

3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919

999 Route 73 N
Ste 101
Marlton, NJ 08053
Phone (856) 424-2929

243 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 680-9263

1 Union St
Ste 101
Trenton, NJ 08691
Phone (609) 632-0140

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

10160 Bustleton Ave
Ste D
Philadelphia, PA 19116
Phone (215) 464-8050

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

3 Crescent Dr
Ste 1002
Philadelphia, PA 19112
Phone (215) 503-4900

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

2451 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-8050

850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900

4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610

10160 Bustleton Ave
Ste E
Philadelphia, PA 19116
Phone (215) 503-4900

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1922087097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782743",
            "address_2": "ATTN: CREDENTIALING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191782743",
            "telephone_number": "602-910-6887",
            "fax_number": "215-612-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD",
            "address_2": "ATTN: RADIOLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191144200",
            "telephone_number": "215-612-2610",
            "fax_number": "215-612-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWECK",
        "first_name": "ELI",
        "middle_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD047391L",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PA",
            "license": "MD047391L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08175000",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NJ",
            "license": "25MA08175000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.