Mid-State Radiation Oncology Associates, P. a.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

MID-STATE RADIATION ONCOLOGY ASSOCIATES, P. A.

Practice address

65 James St
Edison, NJ 08820-3947

Phone

(732) 321-7167

Fax

(732) 698-0116

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Donna Teeple

Title

Billing/Credentialing Manager

Phone

(732) 512-7990

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Robert Knee, MD

  • Therapeutic Radiology Physician
  • Summit, NJ
  • NPI 1669454666
  NPD (past)
• Lucille Trabold, M.D.

  • Radiation Oncology Physician
  • Edison, NJ
  • NPI 1518914688
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104872290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MASTERS LN",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284432627",
            "telephone_number": "732-512-7990",
            "fax_number": "732-906-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947",
            "telephone_number": "732-321-7167",
            "fax_number": "732-698-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-STATE RADIATION ONCOLOGY ASSOCIATES, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TEEPLE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "732-512-7990"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3224201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alvin Francis Micabalo, D.O.
• Michael S. Lax PSYD LLC
• Banoub Michael, MD
• Meray Sameh Michael, M.D.
• Mid Jersey Medical Associates, PA
• Middlesex Acupuncture LLC
• Middlesex Cardiac Diagnostic Center
• Middlesex County Improvement Authority
• Middlesex County Improvement Authority
• Middlesex Emergency Physicians, P.a.

• Radiation Oncology Physician in Edison, NJ
• Providers in Edison, 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 Jul 21, 2022; 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.