Adirondack Radiation Therapy, PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

ADIRONDACK RADIATION THERAPY, PC

Practice address

75 Beekman St
Plattsburgh, NY 12901-1438

Phone

(518) 562-7120

NPI assigned

Apr 11, 2007

Last updated

Sep 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Vaccaro, MDNPI 1790786051

Title

MD

Phone

(770) 693-6029

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Anthony Vaccaro, M.D.

  • Radiation Oncology Physician
  • Malone, NY
  • NPI 1790786051
  Medicare reassignment NPD Authorized official
• William Francis Staub, RPAC

  • Medical Physician Assistant
  • Plattsburgh, NY
  • NPI 1609818988
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1093938334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1305",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054951305",
            "telephone_number": "770-693-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BEEKMAN ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011438",
            "telephone_number": "518-562-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK RADIATION THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "VACCARO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-693-6029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01382892",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adirondack Periodontics PLLC
• Adirondack Physical Therapy & Sports Rehab, PC
• Adirondack Primary Care (Zbigniew Wolczynski)
• Adirondack Psychiatric Associates, P.C.
• Adirondack Pulmonary & Sleep Medicine PLLC
• Bonnie Edith Adler, C.N.M., N.P
• Robert Ira Adler, M.D.
• Advanced Women's Healthcare in Obstetrics & Gynecology PLLC
• Afterhours Imaging, LLC
• Afterhours Imaging, LLC

• Radiation Oncology Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.