Individual provider Active NPI

Justin M Mann, MD

  • Radiation Oncology Physician
  • Camden, NJ
National Provider Identifier
1710326095
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MA10355700 Issued in NJ
Practice address
2 Cooper PLZ
Camden, NJ 08103-1461
Phone
(855) 632-2667
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 294026 NY
Radiation Oncology Physician 2085R0001X 25MA10355700 NJ Primary

Addresses

Primary practice location

2 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

Other practice location 2

Two Cooper Plaza 400 Haddon Ave
Suite C1032
Camden, NJ 08103
Phone (856) 735-6119

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
I20180913001286 NJ Practitioner - Radiation Oncology 3678823580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiation Oncology PCGroup PAC ID 6305747601, 14 clinicians

Practice addresses (Care Compare)

2 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2300

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
25MA10355700NJMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Monmouth Radiation Oncology CurrentSince Jul 24, 2018 Accepting new patients
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey Radiation Oncology CurrentSince Jul 24, 2018 Accepting new patients
Radiation Oncology, PC Radiation Oncology CurrentSince Feb 6, 2023 Accepting new patients
The Cooper Health System Past Accepting new patients
Children'S Surgical Associates Past Accepting new patients

Locations

136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000

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

2 Cooper Plz
Ste C1032
Camden, NJ 08103
Phone (856) 735-6119

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

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

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336

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

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

Interoperability endpoints

  • Direct secure messaging: jmann130905@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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1710326095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "855-632-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 York Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656007",
            "country_code": "US",
            "telephone_number": "212-639-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Two Cooper Plaza 400 Haddon Ave",
            "address_2": "Suite C1032",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "08103",
            "country_code": "US",
            "telephone_number": "856-735-6119",
            "fax_number": "856-735-6467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "294026",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA10355700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.