Active NPI
Bay Radiation Oncology,P.L.L.C
- Therapeutic Radiology Physician
- Passaic, NJ
National Provider Identifier
1013102185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- 25MA04364400
- Legal business name
- BAY RADIATION ONCOLOGY,P.L.L.C
- Practice address
- 350 Boulevard
Passaic, NJ 07055-2840 - Phone
- (973) 365-5088
- NPI assigned
- Sep 11, 2007
- Last updated
- Sep 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sung I Lee, M.D.
- Title
- Member
- Phone
- (212) 799-0196
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | 25MA04364400 | NJ | Primary |
Addresses
Primary practice location
350 Boulevard
Passaic, NJ 07055-2840
Mailing address
150W 79TH St.
Apt 2a
New York, NY 10024
Phone (212) 799-0196
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Therapeutic Radiology Physician
- New York, NY
- NPI 1124069356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189468800000",
"number": "1013102185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150W 79TH ST.",
"address_2": "APT 2A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-799-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BOULEVARD",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070552840",
"telephone_number": "973-365-5088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY RADIATION ONCOLOGY,P.L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "SUNG",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "212-799-0196",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Therapeutic Radiology",
"state": "NJ",
"license": "25MA04364400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.