NPIMap

Organization Active NPI

Norfolk Center for Cancer Care & Hematology PC

  • Hematology & Oncology Physician
  • Brockton, MA
National Provider Identifier
1124193891
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
NORFOLK CENTER FOR CANCER CARE & HEMATOLOGY PC
Practice address
1073 Pleasant Street
Brockton, MA 02301
Phone
(508) 427-5599
Fax
(508) 427-9349
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Satinder Dhillon, MDNPI 1477628147
Title
President
Phone
(508) 427-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1073 Pleasant Street
Brockton, MA 02301

Mailing address

1073 Pleasant Street
Brockton, MA 02301
Phone (508) 427-5599

Other identifiers 5

IdentifierTypeStateIssuer
0021082OtherNHP
DD1961OtherMEDICARE RR
688212OtherMATUFTS
9702890MedicaidMA
M17627OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040107000819 MA Part B Supplier - Clinic/Group Practice 6406755578 Receives reassigned benefits from 6 practitioners
Practice locations: Brockton, MA

National Provider Directory

National Provider Directory

Locations

1073 Pleasant St
Brockton, MA 02301
Phone (508) 427-0827

259 Turnpike St
Canton, MA 02021

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCDAA

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1124193891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 PLEASANT STREET",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-427-5599",
            "fax_number": "508-427-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 PLEASANT STREET",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-427-5599",
            "fax_number": "508-427-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORFOLK CENTER FOR CANCER CARE & HEMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "SATINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-427-5599",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0021082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DD1961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "688212",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9702890",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17627",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.