Organization Active NPI

Scranton Hematology Oncology

  • Hematology & Oncology Physician
  • Scranton, PA
National Provider Identifier
1073770533
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD024781E Issued in PA
Legal business name
SCRANTON HEMATOLOGY ONCOLOGY
Practice address
743 Jefferson Ave
Suite 205
Scranton, PA 18510-1635
Phone
(570) 558-3020
Fax
(570) 558-3385
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Martin Bernard Hyzinski, M.D.NPI 1467446112
Title
Proprietor
Phone
(570) 558-3020

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X MD024781E PA Primary

Addresses

Primary practice location

743 Jefferson Ave
Suite 205
Scranton, PA 18510-1635

Mailing address

743 Jefferson Ave
Suite 205
Scranton, PA 18510-1635
Phone (570) 558-3020

Other identifiers 1

IdentifierTypeStateIssuer
0010539300004MedicaidPA

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
39D0994136Scranton Hematology Oncology743 Jefferson Avenue GSB Suite 205, Scranton, PA 18510ComplianceApr 29, 2028

National Provider Directory

National Provider Directory

Locations

743 Jefferson Ave
Ste 205
Scranton, PA 18510
Phone (570) 558-3020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1073770533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE",
            "address_2": "SUITE 205",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101635",
            "telephone_number": "570-558-3020",
            "fax_number": "570-558-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE",
            "address_2": "SUITE 205",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101635",
            "telephone_number": "570-558-3020",
            "fax_number": "570-558-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRANTON HEMATOLOGY ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "HYZINSKI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "570-558-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD024781E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010539300004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.