Active NPI
Medical Oncology & Hematology PC
- Clinical Medical Laboratory
- Orange, CT
National Provider Identifier
1164519419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CL0172
- Legal business name
- MEDICAL ONCOLOGY & HEMATOLOGY PC
- Practice address
- 240 Indian River Rd
Suite A1
Orange, CT 06477-3649 - Phone
- (203) 795-1664
- Fax
- (203) 795-1665
- NPI assigned
- Oct 6, 2006
- Organization subpart
- Yes
- Parent organization
- MEDICAL ONCOLOGY & HEMATOLOGY PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cynthia A Waranowicz
- Title
- Ceo
- Phone
- (203) 389-7504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CL0172 | CT | Primary |
Addresses
Primary practice location
240 Indian River Rd
Suite A1
Orange, CT 06477-3649
Mailing address
19 Lunar Drive
Medical Oncology and Hematology PC
Woodbridge, CT 06525
Phone (203) 389-7504
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07D0098236 | Other | CT | CMS CLIA |
| CL0172 | Other | CT | DEPT OF PUBLIC HEALTH LIC |
Other names 1
- Diagnostic Hematology Lab
National Provider Directory
National Provider Directory- Part of
- Medical Hematology on
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237766400000",
"number": "1164519419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 LUNAR DRIVE",
"address_2": "MEDICAL ONCOLOGY AND HEMATOLOGY PC",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "06525",
"telephone_number": "203-389-7504",
"fax_number": "203-389-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 INDIAN RIVER RD",
"address_2": "SUITE A1",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773649",
"telephone_number": "203-795-1664",
"fax_number": "203-795-1665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ONCOLOGY & HEMATOLOGY PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL ONCOLOGY & HEMATOLOGY PC",
"enumeration_date": "2006-10-06",
"last_updated": "2009-03-23",
"status": "A",
"authorized_official_last_name": "WARANOWICZ",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "203-389-7504",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CT",
"license": "CL0172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS CLIA",
"identifier": "07D0098236",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF PUBLIC HEALTH LIC",
"identifier": "CL0172",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diagnostic Hematology Lab",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Orange, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.