Individual provider Active NPI

Anthony E. Dragun, MD

  • Radiation Oncology Physician
  • Camden, NJ
National Provider Identifier
1710068036
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MA2510038000 Issued in NJ
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

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
026903828AMedicaidGA

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
I20170503000816 NJ Practitioner - Radiation Oncology 3375644511 Reassigns benefits to 1 organization

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
Radiation Oncology PCGroup PAC ID 6305747601, 14 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
42250KYMDRadiation Oncology Physician
MA2510038000NJMDRadiation Oncology Physician
26436SCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology, PC Radiation Oncology CurrentSince Mar 15, 2017 Accepting new patients
Tanner Medical Group Inc PastSince Sep 1, 2011 Accepting new patients
Children'S Surgical Associates Past Accepting new patients
The Cooper Health System PastSince Mar 15, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.