NPIMap

Organization Active NPI

Cancercare of Southern New Jersey PC

  • Radiation Oncology Physician
  • Cherry Hill, NJ
National Provider Identifier
1245484450
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CANCERCARE OF SOUTHERN NEW JERSEY PC
Practice address
51 Haddonfield Rd
Suite 145
Cherry Hill, NJ 08002-4801
Phone
(856) 488-4224
Fax
(856) 488-8050
NPI assigned
Nov 14, 2008
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Michael J. Katin, MDNPI 1811994999
Title
Ceo/President
Phone
(239) 931-7275

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary
Surgery Physician 208600000X NU

Addresses

Primary practice location

51 Haddonfield Rd
Suite 145
Cherry Hill, NJ 08002-4801

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7212

National Provider Directory

National Provider Directory

Locations

1401 Route 70 E
Ste 22
Cherry Hill, NJ 08034
Phone (856) 334-5550

51 Haddonfield Rd
Ste 145
Cherry Hill, NJ 08002
Phone (856) 488-4224

130 Carnie Blvd
Ste 1
Voorhees, NJ 08043
Phone (609) 424-0003

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1245484450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7212",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 HADDONFIELD RD",
            "address_2": "SUITE 145",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024801",
            "telephone_number": "856-488-4224",
            "fax_number": "856-488-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCERCARE OF SOUTHERN NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "KATIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "239-931-7275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.