1013970813 NPI number — HEMATOLOGY-ONCOLOGY ASSOCIATES OF NORTHERN NEW JERSEY, PA

Table of content: (NPI 1013970813)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013970813 NPI number — HEMATOLOGY-ONCOLOGY ASSOCIATES OF NORTHERN NEW JERSEY, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEMATOLOGY-ONCOLOGY ASSOCIATES OF NORTHERN NEW JERSEY, 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:
1013970813
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
65 MADISON AVE
Provider Second Line Business Mailing Address:
4TH FLOOR
Provider Business Mailing Address City Name:
MORRISTOWN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07960
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-538-4870
Provider Business Mailing Address Fax Number:
973-267-6880

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 MADISON AVE
Provider Second Line Business Practice Location Address:
CAROL G SIMON CANCER CENTER
Provider Business Practice Location Address City Name:
MORRISTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07962-1089
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-538-4870
Provider Business Practice Location Address Fax Number:
973-267-6880
Provider Enumeration Date:
04/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
IORIO
Authorized Official First Name:
LOIS
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
973-538-4870

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3046206 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1013970813 . This is a "MEDICARE GROUP NPI NUMBER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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