Individual provider Active NPI

Andrew Samir Iskandar, M.D.

  • Hematology & Oncology Physician
  • Cherry Hill, NJ
National Provider Identifier
1609302017
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA11933900 Issued in NJ
Practice address
2211 Chapel Ave W Ste 501
Cherry Hill, NJ 08002-2059
Phone
(856) 922-5180
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD478510 PA
Hematology & Oncology Physician 207RH0003X 25MA11933900 NJ Primary

Addresses

Primary practice location

2211 Chapel Ave W Ste 501
Cherry Hill, NJ 08002-2059

Mailing address

900 Medical Center Dr Ste 200
Sewell, NJ 08080-2358
Phone (856) 557-7900

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
I20240614001000 NJ Practitioner - Medical Oncology 0547681934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kennedy Medical Group Practice, P.C.Group PAC ID 2860616877, 417 clinicians

Practice addresses (Care Compare)

900 Medical Ctr Dr
Suite 200
Sewell, NJ 08080-2358
Phone (856) 557-7900

Hospital & facility affiliations

  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11933900NJMDHematology & Oncology Physician
MD478510PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice, P.C. Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Jun 1, 2024 Accepting new patients
Kennedy University Hospital Inc PastSince Jul 21, 2024 Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

2211 Chapel Ave W
Ste 501
Cherry Hill, NJ 08002
Phone (856) 922-5180

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

900 Medical Center Dr
Ste 200
Sewell, NJ 08080
Phone (856) 557-7900

400 Laurel Oak Rd
Ste 105
Voorhees, NJ 08043
Phone (609) 304-0991

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1609302017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MEDICAL CENTER DR STE 200",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802358",
            "telephone_number": "856-557-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CHAPEL AVE W STE 501",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022059",
            "telephone_number": "856-922-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDAR",
        "first_name": "ANDREW",
        "middle_name": "SAMIR",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD478510",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA11933900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.