PREMIER ONCOLOGY LLC NPI 1780874271

NPI Information

NPI: 1780874271
Provider Name: PREMIER ONCOLOGY LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
54 W JIMMIE LEEDS RD
SUITE 11
GALLOWAY, NJ
ZIP 08205
Phone: (609) 748-1001
Get Directions

PREMIER ONCOLOGY LLC is a hematology and oncology internal medicine in Galloway, NJ. The provider is 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. PREMIER ONCOLOGY LLC NPI is 1780874271. The provider is registered as an organization entity type.

The provider's business location address is:

54 W JIMMIE LEEDS RD
SUITE 11
GALLOWAY, NJ
ZIP 08205-438
Phone: (609) 748-1001
Fax: (609) 748-1002

The provider's authorized official is Rajasree Ajay .
The authorized official title is Physician and has the following contact phone number (609) 748-1001.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 10/22/2013.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies		25MA07573400	NEW JERSEY	No
2	207RH0003X	Internal Medicine	Hematology & Oncology	25MA07573400	NEW JERSEY	Yes

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
1	2864337000	OTHER	NEW JERSEY	AMERIHEALTH
2	G3827588	OTHER	NEW JERSEY	OXFORD
3	6716040001	MEDICARE NSC	NEW JERSEY
4	114722	MEDICARE PIN	NEW JERSEY
5	DO2319	OTHER	NEW JERSEY	PALMETTO GBA-RAILROAD MEDICARE

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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