Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nick Maravich, MD

Individual provider Diagnostic Radiology Physician · NPI 1104828599

Dr. Nick Maravich, MD is a Diagnostic Radiology in Mount Laurel, New Jersey. Graduated from Jefferson Medical College of Thomas Jefferson University in 1994, 32 years ago. Practices with South Jersey Radiology Associates P A, a 200-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
32
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NJ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

210 Ark Rd
Mount Laurel, NJ 08054-3188
Phone: (856) 778-8860
Fax: (609) 261-4180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25MA06540900 (NJ)

Record details

NPI number1104828599
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2005
Last updated in NPPESApril 6, 2012
Mailing address1295 Route 38, P.O. Box 479, Hainesport, NJ 08036-2702

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1994 (32 years in practice)
Group practice South Jersey Radiology Associates P A — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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