Active NPI
Eytan Irwin, M.D.
- Colon & Rectal Surgery Physician
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 25MA47984000
- Practice address
- 502 Centennial Blvd
Suite 5
Voorhees, NJ 08043 - Phone
- (856) 429-8030
- Fax
- (856) 428-2718
- NPI assigned
- Aug 9, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA47984000 | NJ | |
| Colon & Rectal Surgery Physician | 208C00000X | 25MA47984000 | NJ | Primary |
Addresses
Primary practice location
502 Centennial Blvd
Suite 5
Voorhees, NJ 08043
Mailing address
402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300
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
- Colorectal Surgery (Proctology)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211
188 Fries Mill Rd
Suite K2
Turnersville, NJ 08012-2055
Phone (856) 262-7340
Hospital & facility affiliations
- West Jersey Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 108 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA47984000 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Current | Accepting new patients | |
| Advocare, LLC | Current | Accepting new patients | |
| Advocare , LLC | Current | Accepting new patients | |
| Advocare, LLC | Past | Accepting new patients | |
| Advocare, LLC | Colon & Rectal Surgery | Past | Accepting new patients |
Locations
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787
525 Route 73 S
Ste 305A
Marlton, NJ 08053
Phone (609) 267-7050
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
188 Fries Mill Rd
Ste K2
Turnersville, NJ 08012
Phone (856) 262-7340
502 Centennial Blvd
Ste 5
Voorhees, NJ 08043
Phone (856) 429-8030
Interoperability endpoints
- eytan.irwin@advocaredoctors.eclinicaldirectplus.com
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Nephrology Physician
- Voorhees, NJ
- NPI 1447682463
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
-
- Colon & Rectal Surgery Physician
- Voorhees, NJ
- NPI 1952739963
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1801897319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534112",
"telephone_number": "856-782-3300",
"fax_number": "856-762-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 CENTENNIAL BLVD",
"address_2": "SUITE 5",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "08043",
"telephone_number": "856-429-8030",
"fax_number": "856-428-2718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "EYTAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA47984000",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NJ",
"license": "25MA47984000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.