Provider Type Icon

NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC NPI 1467516773


NPI Information

NPI: 1467516773
Provider Name: NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC

Doing Business As: COMMUNITY CANCER CARE

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 07D2020608

Address:
100 HAYNES ST
MANCHESTER, CT
ZIP 06040
Phone: (860) 533-4000
Get Directions

NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC is a radiation oncology radiology in Manchester, CT. 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. NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC NPI is 1467516773. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Community Cancer Care.

The provider's business location address is:

100 HAYNES ST
MANCHESTER, CT
ZIP 06040-113
Phone: (860) 533-4000

The provider's authorized official is Daniel Delgallo .
The authorized official title is Executive Director and has the following contact phone number (860) 646-1222.

The CLIA number assigned to this NPI record is 07D2020608 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 7/21/2022.


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 OncologyCONNECTICUTYes

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
161426856OTHERCONNECTICUTSAGA
2A1725354OTHERCONNECTICUTOXFORD
3004214293MEDICAIDCONNECTICUT
42139370OTHERCONNECTICUTAETNA MEDICARE
52158621OTHERCONNECTICUTAETNA USHC
6954221OTHERCONNECTICUTCONNECTICARE
733006856OTHERCONNECTICUTCIGNA
868RDONC01CT1OTHERCONNECTICUTANTHEM BS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.