Organization Active NPI

Advanced Cancer Care of New Jersey,PC

  • Hematology & Oncology Physician
  • Toms River, NJ
National Provider Identifier
1255529244
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA06728200 Issued in NJ
Legal business name
ADVANCED CANCER CARE OF NEW JERSEY,PC
Practice address
40 Bey Lea Rd
Suite B 102
Toms River, NJ 08753-2900
Phone
(732) 244-3380
Fax
(732) 244-9013
NPI assigned
Oct 4, 2007
Last updated
Jul 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Authorized official

Name
Chirag M Shah, MDNPI 1053345629
Title
Physician
Phone
(732) 244-3380

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
Hematology & Oncology Physician 207RH0003X 25MA05380300 NJ
Hematology & Oncology Physician 207RH0003X 25MA06728200 NJ Primary

Addresses

Primary practice location

40 Bey Lea Rd
Suite B 102
Toms River, NJ 08753-2900

Mailing address

40 Bey Lea Rd
Suite B 102
Toms River, NJ 08753-2900
Phone (732) 244-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050708000026 NJ Part B Supplier - Clinic/Group Practice 3678519915 Receives reassigned benefits from 8 practitioners
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

40 Bey Lea Rd
Ste B102
Toms River, NJ 08753
Phone (732) 244-3380

Practitioners & affiliated clinicians

Practitioners 9

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": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499212800000",
    "number": "1255529244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "SUITE B 102",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-244-3380",
            "fax_number": "732-244-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "SUITE B 102",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-244-3380",
            "fax_number": "732-244-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CANCER CARE OF NEW JERSEY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2017-07-05",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-244-3380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA05380300",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA06728200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.