Active NPI
New York University
Doing business as NYU Langone Arena Oncology
- Hematology & Oncology Physician
- Lake Success, NY
National Provider Identifier
1114297389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- NEW YORK UNIVERSITY
- Doing business as
- NYU Langone Arena Oncology
- Practice address
- 1999 Marcus Ave.
Suite 120
Lake Success, NY 11042 - Phone
- (516) 466-6611
- Fax
- (516) 466-6080
- NPI assigned
- Jan 5, 2012
- Last updated
- Jan 5, 2012
- Organization subpart
- Yes
- Parent organization
- NEW YORK UNIVERSITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew T. Rubin
- Title
- Sr. Asst. Dean of Clinical Affairs
- Phone
- (646) 501-3224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | NY | Primary |
Addresses
Primary practice location
1999 Marcus Ave.
Suite 120
Lake Success, NY 11042
Mailing address
1999 Marcus Ave.
Suite 120
Lake Success, NY 11042
Phone (516) 466-6611
Other names 1
- NYU Langone Arena Oncology
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2038202 | NYU Langone Arena Oncology | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Part of
- Dr J Thomas Roland
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Hematology & Oncology Physician
- Lake Success, NY
- NPI 1699760132
-
- Medical Physician Assistant
- New Hyde Park, NY
- NPI 1679667752
-
- Physician Assistant
- New Hyde Park, NY
- NPI 1245520675
-
- Medical Oncology Physician
- Lake Success, NY
- NPI 1922009653
Hematology & Oncology
-
- Nurse Practitioner
- Lake Success, NY
- NPI 1174550586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325721600000",
"number": "1114297389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 MARCUS AVE.",
"address_2": "SUITE 120",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-466-6611",
"fax_number": "516-466-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 MARCUS AVE.",
"address_2": "SUITE 120",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-466-6611",
"fax_number": "516-466-6080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK UNIVERSITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW YORK UNIVERSITY",
"enumeration_date": "2012-01-05",
"last_updated": "2012-01-05",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "SR. ASST. DEAN OF CLINICAL AFFAIRS",
"authorized_official_telephone_number": "646-501-3224"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NYU Langone Arena Oncology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Success, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.