1750493326 NPI number — NORTH JERSEY RADIATION ONCOLOGY ASSOCIATES, PA

Table of content: (NPI 1750493326)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750493326 NPI number — NORTH JERSEY RADIATION ONCOLOGY ASSOCIATES, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH JERSEY RADIATION ONCOLOGY ASSOCIATES, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750493326
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
98 FORD RD
Provider Second Line Business Mailing Address:
SUITE 3-H
Provider Business Mailing Address City Name:
DENVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07834-1374
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-625-3366
Provider Business Mailing Address Fax Number:
973-625-0349

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
703 MAIN ST
Provider Second Line Business Practice Location Address:
RADIATION ONCOLOGY DEPT.
Provider Business Practice Location Address City Name:
PATERSON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07503-2621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-754-2683
Provider Business Practice Location Address Fax Number:
973-754-2679
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HERSKOVIC
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
973-754-2683

Provider Taxonomy Codes

  • Taxonomy code: 2085R0203X , with the licence number:  MA37836 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6065708 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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