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ACADEMIC RADIATION ONCOLOGY PC NPI 1679502488


NPI Information

NPI: 1679502488
Provider Name: ACADEMIC RADIATION ONCOLOGY, PC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
900 ROUTE 70 EAST
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 901-7314
Get Directions

ACADEMIC RADIATION ONCOLOGY, PC is a radiation oncology radiology in Lakewood, 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. ACADEMIC RADIATION ONCOLOGY, PC NPI is 1679502488. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 ROUTE 70 EAST
LAKEWOOD, NJ
ZIP 08701-940
Phone: (732) 901-7314
Fax: (732) 901-5704

The provider's authorized official is Carol L Kornmehl .
The authorized official title is Director and has the following contact phone number (973) 365-5088.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 1/30/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104002MEDICARE PINNEW JERSEY

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: 4/28/2024

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