GREGORY KUBICEK (NPI# 1558427153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558427153 |
| Entity Type | Individual |
| Full Name | GREGORY KUBICEK |
| Credential | M.D. |
| Practice Address |
2 Cooper Plz Camden NJ 08103-1461 |
| Mailing Address |
1 Federal St # 200 Camden NJ 08103-1088 |
| Practice Telephone | 8556322667 |
| Mailing Telephone | 8563564924 |
| Mailing Fax Number | 8567356467 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
25MA09120800 | NJ | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD436715 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1022815670001 | 05 | |
| PA | 1022815670002 | 05 | |
| PA | CAQH | 11948275 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 Cooper Plz, Suite 502, Camden, NJ 081031438 | 8569687433 | 8569688499 |
| Street Address |
2 COOPER PLZ |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812231 | Howard Isadore Kesselheim | Internal Medicine | 2 Cooper Plz, Camden, NJ 08103-1461 | 2005-06-22 |
| 1326660499 | Molly Elizabeth Kalasinski | Genetic Counselor, MS | 2 Cooper Plz, Camden, NJ 08103-1461 | 2020-05-12 |
| 1457989352 | Kathryn Marino | Nurse Practitioner | 2 Cooper Plz, Camden, NJ 08103-1461 | 2020-03-28 |
| 1285274977 | Caroline Pyle | Registered Nurse | 2 Cooper Plz, Camden, NJ 08103-1461 | 2020-01-09 |
| 1780238113 | Alexa Bream | Genetic Counselor, MS | 2 Cooper Plz, Camden, NJ 08103-1461 | 2019-07-24 |
| 1194380287 | Caitlin O'brien | Genetic Counselor, MS | 2 Cooper Plz, 400 Haddon Ave, Camden, NJ 08103-1461 | 2019-05-05 |
| 1376107326 | Lina Medeiros-loras | Nurse Practitioner | 2 Cooper Plz, 400 Haddon Ave, Camden, NJ 08103-1461 | 2019-04-25 |
| 1336653070 | Margaret Anne Franzetti | Social Worker | 2 Cooper Plz, Camden, NJ 08103-1461 | 2017-11-16 |
| 1184160145 | Sharice Gerber | Registered Nurse | 2 Cooper Plz, 400 Haddon Ave, Camden, NJ 08103-1461 | 2017-01-16 |
| 1356798771 | Jennifer Marie Bonafiglia | Nurse Practitioner | 2 Cooper Plz, Md Anderson- Division of Breast Surgery, Camden, NJ 08103-1461 | 2016-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801206776 | Gary Eastwick | Radiology | Two Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103 | 2014-05-01 |
| 1477865426 | Megan A. Mezera | Radiology | Two Cooper Plaza 400 Haddon Ave, Camden, NJ 08103 | 2010-07-07 |
| 1710068036 | Anthony E. Dragun | Radiology | 400 Haddon Ave, Two Cooper Plaza, Suite C 1030, Camden, NJ 08103 | 2006-10-17 |
| 1073801742 | Stuti Ahlawat | Radiology | Two Cooper Plaza 400 Haddon Ave, Camden, NJ 08103 | 2011-07-15 |
| 1083758635 | Ashish B Patel | Radiology | 2 Cooper Plz, Radiation Oncology, 1st Floor, Camden, NJ 08103-1461 | 2007-02-16 |
| 1770699605 | Sucha O Asbell | Radiology | 2 Cooper Plz, Camden, NJ 08103 | 2006-08-22 |
| 1154369163 | Radiation Oncology, PC | Radiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2006-06-02 |
| 1568411908 | Clarissa F Henson | Radiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2006-05-10 |
| 1801864095 | Noel Melitta Kramer | Radiology | 1 Cooper Plz, Cooper Hospital/umc (radiation Oncology), Camden, NJ 08103-1461 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856423 | Lourdes Medical Associates, Pa | Radiology | 220 Sunset Rd Ste 4, Willingboro, NJ 08046-1126 | 2017-08-09 |
| 1851788772 | Byung Han Rhieu | Radiology | 33 Overlook Rd Ste L05, Summit, NJ 07901-3561 | 2015-04-17 |
| 1568882900 | Matthew Listo | Radiology | 900 Route 70 # 1a, Lakewood, NJ 08701-5940 | 2014-04-24 |
| 1558641126 | Princeton Procure Management, LLC | Radiology | 103 Cedar Grove Ln, Somerset, NJ 08873-4717 | 2011-08-26 |
| 1902104573 | Jersey City Radiation Therapy LLC | Radiology | 631 Grand Street, Suite 1-1, Jersey City, NJ 07304 | 2011-03-07 |
| 1972807824 | Hackensack Radiation Therapy LLC | Radiology | 20 Woodridge Ave, Hackensack, NJ 07601-6013 | 2011-01-07 |
| 1609008333 | Alina Hirsh | Radiology | 2090 Springdale Road, Suite B, Cherry Hill, NJ 08003 | 2009-08-13 |
| 1225278518 | Susan M Weissman | Radiology | 22 Stratford Dr, Livingston, NJ 07039-5140 | 2009-02-25 |
| 1760639918 | Rekha D. Iyengar | Radiology | 9 Chelsea Dr, Livingston, NJ 07039-3424 | 2008-08-19 |
| 1588830467 | Robert Percy Thomas Reeves | Radiology | 1100 B Argyll Circle, Lakewood, NJ 08701 | 2008-05-01 |
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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.