Provider Demographics
NPI:1366441016
Name:ELDER, JAMES P (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:ELDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1710
Mailing Address - Street 2:SOUTH JERSEY RADIOLOGY ASSOCIATES PA
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-7710
Mailing Address - Country:US
Mailing Address - Phone:856-770-0504
Mailing Address - Fax:856-770-0395
Practice Address - Street 1:SOUTH JERSEY RADIOLOGY ASSOCIATES, PA
Practice Address - Street 2:100 CARNIE BLVD. SUITE B-5
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-751-0123
Practice Address - Fax:856-751-0535
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2012-06-04
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA056157002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
300067173OtherRAILROAD MEDICARE
A3738029OtherOXFORD HEALTH
10655537OtherCAQH
1089834OtherHORIZON NJ HEALTH
1822176OtherUNITED HEALTHCARE
0577530OtherAETNA
0981498000OtherAMERIHEALTH
NJ6937608Medicaid
EL871857OtherHIGHMARK PA BLUE SHIELD
EL871857OtherPREMIER BLUE
EL871857OtherPREMIER BLUE
NJG02040Medicare UPIN