Jack Ebani MD Imrt LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

JACK EBANI MD IMRT LLC

Practice address

900 RT 70 East
Lakewood, NJ 08701-5940

Phone

(732) 901-7314

Fax

(732) 901-5704

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Jack E Ebani, MDNPI 1962563932

Title

President

Phone

(732) 774-4551

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jack E. Ebani, MD

  • Urology Physician
  • Neptune, NJ
  • NPI 1962563932
  NPD (past) Authorized official

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1093984676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 OLD FARM RD",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551660",
            "telephone_number": "732-774-4551",
            "fax_number": "732-774-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RT 70 EAST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015940",
            "telephone_number": "732-901-7314",
            "fax_number": "732-901-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK EBANI MD IMRT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "EBANI",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-774-4551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivory Therapy Group Inc
• Dov Iwaniski, DPT
• Lauren Izenberg
• J & a Decking LLC
• Devora Jacabson Grohman
• Stephanie Jacob
• Michal Jacobovits, OT
• Leah Malka Jacobowitz, RDN
• Esther Jacobs, CSW
• Rivkah Jacobs

• Radiation Oncology Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Radiation Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.