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HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY LLC NPI 1700483252


NPI Information

NPI: 1700483252
Provider Name: HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 03D2214742

Address:
1225 HANCOCK RD
SUITE 204
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 219-4560
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HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC is a hematology and oncology internal medicine in Bullhead City, AZ. 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. HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC NPI is 1700483252. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1225 HANCOCK RD
SUITE 204
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 219-4560
Fax: (928) 219-4561

The provider's authorized official is Hamdy A. Mohtaseb .
The authorized official title is President and has the following contact phone number (928) 681-1234.

The CLIA number assigned to this NPI record is 03D2214742 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/7/2020 and was last updated on 10/7/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & 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
1080714MEDICAIDARIZONA

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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