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ENGLEWOOD RADIATION ONCOLOGY LLC NPI 1497700405


NPI Information

NPI: 1497700405
Provider Name: ENGLEWOOD RADIATION ONCOLOGY, LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
350 ENGLE ST
LLO
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 894-3125
Get Directions

ENGLEWOOD RADIATION ONCOLOGY, LLC is a radiation oncology radiology in Englewood, NJ. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. ENGLEWOOD RADIATION ONCOLOGY, LLC NPI is 1497700405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 ENGLE ST
LLO
ENGLEWOOD, NJ
ZIP 07631-808
Phone: (201) 894-3125
Fax: (201) 894-0152

The provider's authorized official is David M. Dubin .
The authorized official title is President and has the following contact phone number (201) 894-3125.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation Oncology25MA05022800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12737974OTHERNEW JERSEYAETNA DR. DUBIN
25159300MEDICAIDNEW JERSEY
3P3226618OTHERNEW JERSEYOXFORD DR. ZHANG
4BS525OTHERNEW JERSEYOXFORD DR. DUBIN
57303563OTHERNEW JERSEYAETNA DR ZHANG
67100293OTHERNEW JERSEYAETNA GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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