Active NPI
Eli Fred Dweck, M.D.
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD047391L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Washington University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson University Radiology Associates LLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD047391L | PA | MD | Nuclear Radiology Physician |
| 25MA08175000 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Associates in Healthcare, Inc. | Current | Accepting new patients | |
| Jefferson University Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson University Physicians of New Jersey, P.C. | Current | Accepting new patients | |
| Jefferson University Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson University Radiology Associates, LLC | 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. | Diagnostic Radiology | Current | Accepting new patients |
| Methodist Associates in Healthcare, Inc | Current | 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. | Current | Accepting new patients | |
| Montgomery County Advanced Medical Imaging, LLC | Current | Accepting new patients | |
| MRI Physician Associates, PC | Diagnostic Radiology | Past | Accepting new patients |
| Best Behavioral Healthcare, Inc. | Past | 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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
Diagnostic Radiology
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Diagnostic Radiology
-
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1578512224
Diagnostic Radiology
-
- Internal Medicine Physician
- Voorhees, NJ
- NPI 1083039200
-
- Radiology Clinic/Center
- Marlton, NJ
- NPI 1972169902
Diagnostic Radiology
-
- Cardiovascular Disease Physician
- Robbinsville, NJ
- NPI 1649636754
Diagnostic Radiology
-
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1063067635
Diagnostic Radiology
-
- Radiology Clinic/Center
- Malvern, PA
- NPI 1710492764
Diagnostic Radiology
-
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1033575352
-
- Clinic/Center
- Willow Grove, PA
- NPI 1134315369
-
- Neurological Surgery Physician
- Sewell, NJ
- NPI 1568078095
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.