Trevor Layne MD PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MA61795 Issued in NJ

Legal business name

TREVOR LAYNE MD PA

Practice address

354 Main St
West Orange, NJ 07052-5726

Phone

(201) 512-9494

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Trevor Layne, MDNPI 1124089719

Title

Owner

Phone

(973) 763-9696

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trevor Layne, MD

  • Hematology & Oncology Physician
  • West Orange, NJ
  • NPI 1124089719
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1063469708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525726",
            "telephone_number": "201-512-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525726",
            "telephone_number": "201-512-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR LAYNE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "LAYNE",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-763-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA61795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7402104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Totten, RPH
• Town of West Orange
• Township of West Orange
• Township of West Orange Dental Clinic
• Transitions Care Management LLC
• Justin Trilling, D.P.T.
• Colleen Elaine Tsarnas, RD
• Nicholas G Tullo, MD
• Nicole Turon-Diaz
• Tutela Plastic Surgery PA

• Hematology & Oncology Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Hematology & Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.