Individual provider Active NPI

Gary Eastwick, MD

  • Radiation Oncology Physician
  • Camden, NJ
National Provider Identifier
1801206776
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MA10502500 Issued in NJ
Practice address
Two Cooper Plaza
400 Haddon Ave
Camden, NJ 08103
Phone
(855) 632-2667
NPI assigned
May 1, 2014
Last updated
Oct 7, 2020By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 25MA10502500 NJ Primary

Addresses

Primary practice location

Two Cooper Plaza
400 Haddon Ave
Camden, NJ 08103

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

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
I20190611000654 NJ Practitioner - Radiation Oncology 8022354877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Temple University School of Medicine, 2014
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)

400 Haddon Ave
Collingswood, NJ 08108-1330
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
25MA10502500NJMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology, PC Radiation Oncology CurrentSince Jul 29, 2019 Accepting new patients
Children's Surgical Associates PastSince Jul 29, 2019 Accepting new patients
The Cooper Health System Past Accepting new patients

Locations

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

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

2 Cooper Plz
Fl 4
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: geastwick88733@direct.cooperhealth.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1801206776",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TWO COOPER PLAZA",
            "address_2": "400 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "855-632-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTWICK",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA10502500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.