Organization Active NPI

Jefferson/Upmc Cancer Associates

  • Radiation Oncology Physician
  • Pittsburgh, PA
National Provider Identifier
1053371245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
JEFFERSON/UPMC CANCER ASSOCIATES
Practice address
565 Coal Valley Road
Pittsburgh, PA 15205
Phone
(412) 205-6300
Fax
(412) 205-6334
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles E Bogosta
Title
Vice President - Cancer Services
Phone
(412) 692-2451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

565 Coal Valley Road
Pittsburgh, PA 15205

Mailing address

5150 Centre Ave
Room 456
Pittsburgh, PA 15232-1309
Phone (414) 223-5127

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053371245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CENTRE AVE",
            "address_2": "ROOM 456",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321309",
            "telephone_number": "414-223-5127",
            "fax_number": "412-648-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY ROAD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15205",
            "telephone_number": "412-205-6300",
            "fax_number": "412-205-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON/UPMC CANCER ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGOSTA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT - CANCER SERVICES",
        "authorized_official_telephone_number": "412-692-2451"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.