NPIMap

Organization Active NPI

Hematology and Oncology Associates of Northeastern PA, PC

  • Hematology & Oncology Physician
  • Dunmore, PA
National Provider Identifier
1164538724
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHEASTERN PA, PC
Practice address
1100 Meade St
Dunmore, PA 18512-3169
Phone
(570) 342-3675
Fax
(570) 342-3316
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Michelle Leandri
Title
Ceo
Phone
(570) 342-3675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1100 Meade St
Dunmore, PA 18512-3169

Mailing address

1100 Meade St
Dunmore, PA 18512-3169
Phone (570) 342-3675

Other identifiers 1

IdentifierTypeStateIssuer
1007315630006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031119000826 PA Part B Supplier - Clinic/Group Practice 9436053733 Receives reassigned benefits from 14 practitioners
Practice locations: Dunmore, PA
O20150803002549 PA DME Supplier - Physician - General Surgery 9436053733 Practice locations: Dunmore, PA

National Provider Directory

National Provider Directory

Locations

1100 Meade St
Dunmore, PA 18512
Phone (570) 342-3675

1100 Meade St
#2463
Dunmore, PA 18512

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1164538724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MEADE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123169",
            "telephone_number": "570-342-3675",
            "fax_number": "570-342-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MEADE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123169",
            "telephone_number": "570-342-3675",
            "fax_number": "570-342-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHEASTERN PA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "LEANDRI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-342-3675"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007315630006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.