Individual provider Active NPI

Alexandre Hageboutros, MD

  • Hematology & Oncology Physician
  • Voorhees, NJ
National Provider Identifier
1598874042
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MA60394 Issued in NJ
Practice address
900 Centennial Blvd
Suite M
Voorhees, NJ 08043-4689
Phone
(856) 325-6750
Fax
(856) 325-6777
NPI assigned
Aug 29, 2006
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MA60394 NJ Primary

Addresses

Primary practice location

900 Centennial Blvd
Suite M
Voorhees, NJ 08043-4689

Mailing address

401 Haddon Ave
E&R Building 270
Camden, NJ 08103-1505
Phone (856) 963-3572

Other identifiers 10

IdentifierTypeStateIssuer
0475739OtherAETNA
3521183OtherCIGNA
110115409OtherRR MEDICARE
3K5923OtherHEALTHNET
500004OtherPAPA BLUE SHIELD
6234704MedicaidNJ
P441764OtherOXFORD
14822OtherUNIVERSITY HEALTHPLAN
1260900OtherUNITED HEALTHCARE
1051788OtherHORIZON NJ HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000032 NJ Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hematology 4284678392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 968-8282

2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667

3 Cooper PLZ
Camden, NJ 08103-1438

900 Centennial Blvd
Voorhees, NJ 08043-4637
Phone (855) 632-2667

900 Centennial Blvd M
Voorhees, NJ 08043-4637
Phone (856) 325-6750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA60394NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA CurrentSince Jan 1, 2006 Accepting new patients
CMC Department of Medicine Group PA Hematology & Oncology CurrentSince Jan 1, 2006 Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

401 Haddon Ave
Bldg 270
Camden, NJ 08103

3 Executive Campus
Fl 2
Cherry Hill, NJ 08002
Phone (856) 356-4920

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

501 Fellowship Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 380-1768

18 E Laurel Rd
Stratford, NJ 08084
Phone (856) 346-6000

900 Centennial Blvd
Ste M
Voorhees, NJ 08043
Phone (856) 325-6750

651 John F Kennedy Way
Willingboro, NJ 08046
Phone (609) 835-2838

Interoperability endpoints

  • Direct secure messaging: ahageboutros5504@direct.cooperhealth.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1598874042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HADDON AVE",
            "address_2": "E&R BUILDING 270",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031505",
            "telephone_number": "856-963-3572",
            "fax_number": "856-338-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTENNIAL BLVD",
            "address_2": "SUITE M",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434689",
            "telephone_number": "856-325-6750",
            "fax_number": "856-325-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEBOUTROS",
        "first_name": "ALEXANDRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA60394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0475739",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3521183",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110115409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K5923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "500004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6234704",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P441764",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTHPLAN",
            "identifier": "14822",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1260900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1051788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.