| NPI | 1336147354 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-07-13 |
| Last Updated | 2012-05-29 |
| Mailing Address | Po Box 1710, South Jersey Radiology Associates, Pa Voorhees, NJ 08043-7710 United States Phone: (856) 770-0504 | Fax: (856) 770-0395 📍 View Map |
| Primary Practice Address | 100 Carnie Blvd, Suite B-5 Voorhees, NJ 08043-4512 United States Phone: (856) 751-0123 | Fax: (856) 751-0535 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 0553825000 | Amerihealth HMO |
| Other (non-Medicare) | - | 0732356 | Aetna |
| Other (non-Medicare) | - | 10654381 | CAQH |
| Other (non-Medicare) | - | 1092027 | Horizon NJ Health |
| Other (non-Medicare) | - | 1243790 | United Healthcare |
| Other (non-Medicare) | - | 300047103 | Railroad Medicare |
| MEDICAID | NJ | 5100305 | - |
| Other (non-Medicare) | - | 717161 | Amerihealth PPO |
| Other (non-Medicare) | - | A3738029 | Oxford Health |
| Other (non-Medicare) | - | DA717161 | Highmark PA Blue Shield |
| Other (non-Medicare) | - | DA717161 | Premier Blue |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2085R0202X – Radiology, Diagnostic Radiology | NJ | 25MA05774500 |
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About NPI 1336147354
Mark S Dannenbaum MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336147354. The primary specialty listed is Radiology, Diagnostic Radiology. The provider is located in Voorhees, NJ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1336147354?
NPI 1336147354 belongs to Mark S Dannenbaum MD, a Radiology, Diagnostic Radiology in Voorhees, NJ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1336147354 active?
The current status of NPI 1336147354 in the NPPES registry is Active. The record was last updated on 2012-05-29.
What specialty is NPI 1336147354?
NPI 1336147354 is classified under the taxonomy Radiology, Diagnostic Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1336147354?
You can verify NPI 1336147354 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1336147354?
The primary practice address on file for NPI 1336147354 is 100 Carnie Blvd, Voorhees, NJ 08043-4512. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1336147354 issued?
NPI 1336147354 was first issued (enumerated) on 2005-07-13. The NPPES record was last updated on 2012-05-29.
Practice Location Map
Mark S Dannenbaum is located at 100 Carnie Blvd, Voorhees, NJ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mark S Dannenbaum. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1336147354. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Radiology, Diagnostic Radiology | 25MA05774500 | NJ |