Organization Active NPI

Bayonne Radonc Associates, LLC

  • Radiation Oncology Physician
  • Bayonne, NJ
National Provider Identifier
1013214204
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
BAYONNE RADONC ASSOCIATES, LLC
Practice address
27 E 29TH St
Bayonne, NJ 07002-4654
Phone
(201) 684-1633
NPI assigned
Feb 24, 2011
Last updated
Sep 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
James Lawler
Title
Chairman
Phone
(201) 684-1633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

27 E 29TH St
Bayonne, NJ 07002-4654

Mailing address

1 Lethbridge PLZ
Mahwah, NJ 07430-2126

Other identifiers 1

IdentifierTypeStateIssuer
0257036MedicaidNJ

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1 Lethbridge Plz
Mahwah, NJ 07430
Phone (201) 684-1633

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1013214204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LETHBRIDGE PLZ",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654",
            "telephone_number": "201-684-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONNE RADONC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "201-684-1633"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257036",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.