ALEXANDRE HAGEBOUTROS (NPI# 1598874042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598874042 |
| Entity Type | Individual |
| Full Name | ALEXANDRE HAGEBOUTROS |
| Credential | MD |
| Practice Address |
900 Centennial Blvd Suite M Voorhees NJ 08043-4689 |
| Mailing Address |
401 Haddon Ave E&r Building 270 Camden NJ 08103-1505 |
| Practice Telephone | 8563256750 |
| Practice Fax Number | 8563256777 |
| Mailing Telephone | 8569633572 |
| Mailing Fax Number | 8563389211 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MA60394 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNIVERSITY HEALTHPLAN | 14822 | 01 | |
| HORIZON NJ HEALTH | 1051788 | 01 | |
| CIGNA | 3521183 | 01 | |
| HEALTHNET | 3K5923 | 01 | |
| OXFORD | P441764 | 01 | |
| AETNA | 0475739 | 01 | |
| UNITED HEALTHCARE | 1260900 | 01 | |
| PA | PA BLUE SHIELD | 500004 | 01 |
| RR MEDICARE | 110115409 | 01 | |
| NJ | 6234704 | 05 |
| Street Address |
900 CENTENNIAL BLVD SUITE M |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-4689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939061 | Donna J. Hogue | Internal Medicine | 900 Centennial Blvd, Suite K, Voorhees, NJ 08043-4637 | 2005-08-11 |
| 1982238101 | Kerri Tompkins | Physical Therapist | 900 Centennial Blvd, Voorhees, NJ 08043-4637 | 2020-02-26 |
| 1215434048 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 900 Centennial Blvd, Bldg 2, Ste 205, Voorhees, NJ 08043-4637 | 2018-04-09 |
| 1548642176 | Janice Horte | Genetic Counselor, MS | 900 Centennial Blvd, Bldg 1, Suite M, Voorhees, NJ 08043-4637 | 2015-06-19 |
| 1821495037 | Radhika Patel | Internal Medicine | 900 Centennial Blvd, 201, Voorhees, NJ 08043-4637 | 2014-12-03 |
| 1962805432 | Logan Reckord Smith | Physician Assistant | 900 Centennial Blvd, #202, Voorhees, NJ 08043-4637 | 2014-09-29 |
| 1477975720 | Rocco Felice Terrigno | Internal Medicine | 900 Centennial Blvd, Voorhees, NJ 08043-4637 | 2014-01-06 |
| 1770917114 | Nicholas A Caputo | Physical Therapist | 900 Centennial Blvd, Building 2, Suite 203, Voorhees, NJ 08043-4637 | 2013-08-21 |
| 1174870570 | Danielle Dondero | Physician Assistant | 900 Centennial Blvd, Building 2, Suite 201, Voorhees, NJ 08043-4637 | 2012-08-06 |
| 1679734503 | Pamela Traisak | Internal Medicine | 900 Centennial Blvd, Building 2, Suite 201, Voorhees, NJ 08043-4689 | 2008-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902803349 | Richard Harvey Greenberg | Internal Medicine | 221 Laurel Rd, Ste 175, Voorhees, NJ 08043-2330 | 2005-06-30 |
| 1346311073 | Noah Lindenberg | Internal Medicine | 705 White Horse Rd, D-105, Voorhees, NJ 08043-2468 | 2006-11-13 |
| 1023108321 | Kumar Rajagopalan | Internal Medicine | 900 Centennial Blvd Ste M, Voorhees, NJ 08043-4637 | 2006-10-15 |
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|---|---|---|---|---|
| 1356976948 | Regional Cancer Care Associates LLC | Internal Medicine | 7650 River Rd Fl 2, North Bergen, NJ 07047-6526 | 2020-03-04 |
| 1609407337 | Regional Cancer Care Associates LLC | Internal Medicine | 9 Centre Dr Ste 100, Monroe Township, NJ 08831-5153 | 2020-01-31 |
| 1801451679 | Coastal Hematology & Oncology Center Professional Corporation | Internal Medicine | 143 Route 70, Toms River, NJ 08755-0971 | 2019-05-07 |
| 1275098022 | Regional Cancer Care Associates LLC | Internal Medicine | 75 Veronica Ave Ste 201, Somerset, NJ 08873-5002 | 2019-02-06 |
| 1194249565 | Mohammed Ali Jaloudi | Internal Medicine | 104 Adams Ct, Edgewater, NJ 07020-1651 | 2017-07-27 |
| 1720454564 | Community Cancer Centers of America LLC | Internal Medicine | 691 State Highway 33, Trenton, NJ 08619 | 2015-08-17 |
| 1194121152 | New Era Hemonc LLC | Internal Medicine | 473 Broadway Ste 411, Bayonne, NJ 07002-3667 | 2014-11-18 |
| 1790188050 | Vadim Zarubin | Internal Medicine | 377 Jersey Ave Ste 160, Jersey City, NJ 07302-4397 | 2014-10-01 |
| 1932501350 | Hematology Oncology Consultants LLC | Internal Medicine | 3086 Rt 27, Suite #8, Kendall Park, NJ 08824-1658 | 2014-09-17 |
| 1497095053 | Regional Cancer Care Associates | Internal Medicine | 30 Rehill Ave Fl 2, Suite 2500, Somerville, NJ 08876-2500 | 2013-02-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.