Individual provider Active NPI

Anthony Nelson Hage, MD

  • Vascular & Interventional Radiology Physician
  • Camden, NJ
National Provider Identifier
1922595925
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA12139900 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(888) 499-8779
NPI assigned
Apr 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 25MA12139900 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231020003079 PA Practitioner - Diagnostic Radiology 8527313790 Reassigns benefits to 3 organizations
I20240717001417 NJ Practitioner - Interventional Radiology 8527313790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2031
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper University Radiology PCGroup PAC ID 6305838764, 68 clinicians
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461

111 S 11TH St
Philadelphia, PA 19107-4824

2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667

2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-7444

400 W Rte
38 Radiology
Moorestown, NJ 08057-3219
Phone (856) 342-2000

900 Centennial Blvd
Voorhees, NJ 08043-4637
Phone (856) 325-6580

900 Centennial Blvd E
Voorhees, NJ 08043-4637
Phone (856) 325-6505

925 Chestnut St
Philadelphia, PA 19107-4204

925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12139900NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper University Radiology, PC CurrentSince Jul 15, 2024 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Vascular & Interventional Radiology CurrentSince Oct 9, 2023 Accepting new patients
Shelin Agrawal and Hyer PLLC Past Accepting new patients

Locations

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

3175 Saint Rose Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 932-2740

2611 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 222-3544

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

31 N Nellis Blvd
Las Vegas, NV 89110

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

3920 S Eastern Ave
Ste 100
Las Vegas, NV 89119
Phone (702) 759-8779

7200 Cathedral Rock Dr
Ste 230
Las Vegas, NV 89128
Phone (702) 623-7568

4880 Wynn Rd
Ste 100
Las Vegas, NV 89103
Phone (702) 759-4600

3025 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 222-2354

6675 S Cimarron Rd
Ste 105
Las Vegas, NV 89113

1397 S Loop Rd
Ste 100
Pahrump, NV 89048

Interoperability endpoints

  • Direct secure messaging: ahage183820@direct.cooperhealth.edu

Organizations & group practices 6

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1922595925",
    "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",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "888-499-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGE",
        "first_name": "ANTHONY",
        "middle_name": "NELSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2024-07-15",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA12139900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.