Organization Active NPI

Atlantic Oncology Associates, LLC

  • Hematology & Oncology Physician
  • Galloway, NJ
National Provider Identifier
1003249087
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ATLANTIC ONCOLOGY ASSOCIATES, LLC
Practice address
54 W Jimmie Leeds Rd
Suite 11
Galloway, NJ 08205-9438
Phone
(609) 404-9966
Fax
(609) 404-9967
NPI assigned
Aug 14, 2013
Last updated
Aug 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nasser Borai, M.D.NPI 1427031681
Title
Member
Phone
(609) 404-9966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

54 W Jimmie Leeds Rd
Suite 11
Galloway, NJ 08205-9438

Mailing address

54 W Jimmie Leeds Rd
Suite 11
Galloway, NJ 08205-9438
Phone (609) 404-9966

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0972314Atlantic Oncology Associates, LLC54 West Jimmie Leeds Road, Galloway Township, NJ 08205ComplianceJul 5, 2026

National Provider Directory

National Provider Directory

Locations

54 W Jimmie Leeds Rd
Ste 11
Galloway, NJ 08205
Phone (609) 404-9966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1003249087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W JIMMIE LEEDS RD",
            "address_2": "SUITE 11",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059438",
            "telephone_number": "609-404-9966",
            "fax_number": "609-404-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W JIMMIE LEEDS RD",
            "address_2": "SUITE 11",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059438",
            "telephone_number": "609-404-9966",
            "fax_number": "609-404-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC ONCOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "BORAI",
        "authorized_official_first_name": "NASSER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-404-9966",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.