ENGLEWOOD RADIOLOGIC GROUP P A
NPI 1639136914
Radiology - Diagnostic Radiology in Englewood, NJ
About Englewood Radiologic Group P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENGLEWOOD RADIOLOGIC GROUP P A (NPI 1639136914) is a healthcare organization registered as a diagnostic radiology in Englewood, New Jersey and active in the NPI registry since April 2006. The organization lists Mark Shapiro, Chief Dept Of Radiology, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Englewood Radiologic Group P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
162Medicare enrollment records show 162 clinicians reassign Medicare billing to Englewood Radiologic Group P A, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 162Englewood, NJ 07631
Englewood, NJ 07631
Englewood, NJ 07631
Englewood, NJ 07631
Englewood, NJ 07631
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Englewood Radiologic Group P A's NPI number?
The NPI number for Englewood Radiologic Group P A is 1639136914. It was assigned to this organization in the NPPES registry on April 28, 2006.
Where is Englewood Radiologic Group P A located?
Englewood Radiologic Group P A is located at 350 Engle St, Englewood, NJ 07631. The listed phone number is (201) 894-3400.
What is Englewood Radiologic Group P A's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Englewood Radiologic Group P A enrolled in Medicare?
Yes. Englewood Radiologic Group P A is registered in the Medicare PECOS enrollment system.
When is Englewood Radiologic Group P A's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Englewood Radiologic Group P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 162 clinicians in 2 Medicare specialties reassign their Medicare billing to Englewood Radiologic Group P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (157) and Interventional Radiology (5). Of these, 10 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Englewood Radiologic Group P A was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Englewood Radiologic Group P A · NPI 1639136914
Diagnostic Radiology organization in Englewood, New Jersey. Organization record, active in the CMS NPPES registry since April 28, 2006.
## Identity
- **NPI:** 1639136914 (Entity type: Organization)
- **Enumerated:** April 28, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Mark Shapiro, CHIEF DEPT OF RADIOLOGY
## Practice location
- **Address:** 350 ENGLE ST, Englewood, NJ 07631
- **Phone:** (201) 894-3400 · **Fax:** (201) 894-5244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 162 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (157), Interventional Radiology (5); 10 practice at this address and 19 within 10 miles; [full list](https://npiprofile.com/npi/1639136914/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2024
- **Other identifiers:** Medicaid 2616904 (NJ)
---
Source: [NPI Profile](https://npiprofile.com/npi/1639136914) · Data from the CMS NPPES public registry.