Organization Active NPI

Precision Radiation Oncology Services, P.C.

  • Radiation Oncology Physician
  • Brooklyn, NY
National Provider Identifier
1194934281
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
202463 Issued in NY
Legal business name
PRECISION RADIATION ONCOLOGY SERVICES, P.C.
Practice address
150 55TH St
Suite G-104
Brooklyn, NY 11220-2559
Phone
(718) 630-7065
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Audrey Saitta, M.D.
Title
President
Phone
(718) 630-7065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 202463 NY Primary

Addresses

Primary practice location

150 55TH St
Suite G-104
Brooklyn, NY 11220-2559

Mailing address

150 55TH St
Suite G-104
Brooklyn, NY 11220-2559
Phone (718) 630-7065

Other identifiers 1

IdentifierTypeStateIssuer
01983893MedicaidNY

National Provider Directory

National Provider Directory

Locations

150 55th St
Ste G104
Brooklyn, NY 11220
Phone (718) 630-7065

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1194934281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "address_2": "SUITE G-104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202559",
            "telephone_number": "718-630-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "address_2": "SUITE G-104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202559",
            "telephone_number": "718-630-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION RADIATION ONCOLOGY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "SAITTA",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-630-7065",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "202463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01983893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.