Active NPI
Anthony E. Dragun, MD
- Radiation Oncology Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MA2510038000
- Practice address
- 400 Haddon Ave, Two Cooper Plaza
Suite C 1030
Camden, NJ 08103 - Phone
- (855) 632-2667
- NPI assigned
- Oct 17, 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 | 26436 | SC | |
| Radiation Oncology Physician | 2085R0001X | 42250 | KY | |
| Radiation Oncology Physician | 2085R0001X | MA2510038000 | NJ | Primary |
Addresses
Primary practice location
400 Haddon Ave, Two Cooper Plaza
Suite C 1030
Camden, NJ 08103
Mailing address
1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026903828A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Centennial Blvd D
Voorhees, NJ 08043-4637
Phone (856) 325-6660
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.98 of 100
- Quality
- 93.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42250 | KY | MD | Radiation Oncology Physician |
| MA2510038000 | NJ | MD | Radiation Oncology Physician |
| 26436 | SC | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiation Oncology, PC | Radiation Oncology | Current | Accepting new patients |
| Tanner Medical Group Inc | Past | Accepting new patients | |
| Children'S Surgical Associates | Past | Accepting new patients | |
| The Cooper Health System | Past | Accepting new patients | |
| TMC West Carroll Family Healthcare Center Inc | Past | Accepting new patients |
Locations
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
2 Cooper Plz
Ste C
Camden, NJ 08103
2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000
400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000
715 Fellowship Rd
Ste C
Mount Laurel, NJ 08054
Phone (856) 342-2301
900 Centennial Blvd
Ste D
Voorhees, NJ 08043
Phone (856) 325-6660
Interoperability endpoints
- adragun68139@direct.cooperhealth.edu
Organizations & group practices 5
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
- Camden, NJ
- NPI 1154369163
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
- Pediatric Surgery Physician
- Orlando, FL
- NPI 1568415115
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
-
- Rural Health Clinic/Center
- Bowdon, GA
- NPI 1982631321
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape May Court House, NJ
- NPI 1053382697
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1710068036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST # 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "856-356-4924",
"fax_number": "856-735-6467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HADDON AVE, TWO COOPER PLAZA",
"address_2": "SUITE C 1030",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "08103",
"telephone_number": "855-632-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGUN",
"first_name": "ANTHONY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "SC",
"license": "26436",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "KY",
"license": "42250",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NJ",
"license": "MA2510038000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026903828A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.