Active NPI
Temple University of the Commonwealth System of Higher Education
Doing business as Temple RadOnc Assoc NJ
- Radiation Oncology Physician
- Sewell, NJ
National Provider Identifier
1154669950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
- Doing business as
- Temple RadOnc Assoc NJ
- Practice address
- 239 Hurffville Crosskeys Rd
Virtua FCCC
Sewell, NJ 08080-4002 - Phone
- (856) 341-8413
- Fax
- (856) 341-8410
- NPI assigned
- Jan 29, 2013
- Last updated
- Jan 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracey Clark
- Title
- Chief Revenue Cycle Officer
- Phone
- (215) 707-4739
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NJ | Primary |
Addresses
Primary practice location
239 Hurffville Crosskeys Rd
Virtua FCCC
Sewell, NJ 08080-4002
Mailing address
2450 W Hunting Park Ave
3/208N
Philadelphia, PA 19129-1302
Phone (215) 707-4739
Other names 1
- Temple RadOnc Assoc NJ
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359417600000",
"number": "1154669950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"address_2": "3/208N",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-707-4739",
"fax_number": "215-707-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 HURFFVILLE CROSSKEYS RD",
"address_2": "VIRTUA FCCC",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080804002",
"telephone_number": "856-341-8413",
"fax_number": "856-341-8410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-29",
"last_updated": "2013-01-29",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "TRACEY",
"authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
"authorized_official_telephone_number": "215-707-4739"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Temple RadOnc Assoc NJ",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.