Individual provider Active NPI

Trevor Layne, MD

  • Hematology & Oncology Physician
  • West Orange, NJ
National Provider Identifier
1124089719
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MA061795 Issued in NJ
Practice address
354 Main St
West Orange, NJ 07052-5726
Phone
(973) 731-2201
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA61795 NJ
Hematology & Oncology Physician 207RH0003X MA061795 NJ Primary

Addresses

Primary practice location

354 Main St
West Orange, NJ 07052-5726

Mailing address

354 Main St
West Orange, NJ 07052-5726
Phone (973) 731-2201

Other identifiers 1

IdentifierTypeStateIssuer
7402104MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000407 NJ Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 5395822654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

354 Main St
West Orange, NJ 07052-5726
Phone (973) 731-2201

Hospital & facility affiliations

  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA61795NJMDSpecialist
MA061795NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trevor Layne MD PA Hematology & Oncology CurrentSince May 3, 1997 Accepting new patients
Central Avenue Professional Services, PC Past Accepting new patients

Locations

354 Main St
West Orange, NJ 07052
Phone (973) 731-2201

Interoperability endpoints

  • Direct secure messaging: tlayne244892@epicdirect.rwjbh.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1124089719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525726",
            "telephone_number": "973-731-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525726",
            "telephone_number": "973-731-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA61795",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA061795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7402104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.