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HACKENSACK RADIATION THERAPY LLC NPI 1972807824


NPI Information

NPI: 1972807824
Provider Name: HACKENSACK RADIATION THERAPY LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
20 WOODRIDGE AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 880-7580
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HACKENSACK RADIATION THERAPY LLC is a radiation oncology radiology in Hackensack, 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. HACKENSACK RADIATION THERAPY LLC NPI is 1972807824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 WOODRIDGE AVE
HACKENSACK, NJ
ZIP 07601-013
Phone: (201) 880-7580
Fax: (201) 880-7585

The provider's authorized official is Donald Vardaro .
The authorized official title is Administrative Director and has the following contact phone number (201) 880-7580.

The enumeration date for this NPI number is 1/7/2011 and was last updated on 5/6/2011.


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 Oncology0400320983NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10256277MEDICAIDNEW 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: 11/14/2023

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