Active NPI
Christopher D Koprowski, M.D.
- Radiation Oncology Physician
- Newark, DE
National Provider Identifier
1679517932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- C10006474
- Practice address
- 4701 Ogletown Stanton Rd
Ste 1109
Newark, DE 19713-2079 - Phone
- (302) 623-4800
- Fax
- (302) 623-4850
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | C10006474 | DE | Primary |
| Radiation Oncology Physician | 2085R0001X | D0058737 | MD | |
| Radiation Oncology Physician | 2085R0001X | MD022600E | PA |
Addresses
Primary practice location
4701 Ogletown Stanton Rd
Ste 1109
Newark, DE 19713-2079
Mailing address
PO Box 12870
Wilmington, DE 19850-2870
Phone (302) 733-0374
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920006915 | Other | DE | RAILROAD MEDICARE |
| P00761474 | Other | MD | RAILROAD MEDICARE |
| P01311292 | Other | PA | RAILROAD MEDICARE |
| 377430901 | Medicaid | MD | |
| 000892024 | Medicaid | PA | |
| 0001179301 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0058737 | MD | MD | Radiation Oncology Physician |
| MD022600E | PA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 21St Century Oncology of New Jersey, Inc. | Radiation Oncology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Radiation Oncology Physician
- Newark, DE
- NPI 1710917968
-
- Radiation Oncology Physician
- Voorhees, NJ
- NPI 1578543930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1679517932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12870",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198502870",
"telephone_number": "302-733-0374",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 OGLETOWN STANTON RD",
"address_2": "STE 1109",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132079",
"telephone_number": "302-623-4800",
"fax_number": "302-623-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPROWSKI",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "DE",
"license": "C10006474",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MD",
"license": "D0058737",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MD022600E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "920006915",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00761474",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01311292",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377430901",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000892024",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001179301",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.