Individual provider Active NPI

Samhita Chakraborty, M.D.

  • Hematology & Oncology Physician
  • Newark, NJ
National Provider Identifier
1255588109
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA08464500 Issued in NJ
Practice address
205 S Orange Ave
Suite a 1115, Cancer Center
Newark, NJ 07103-2785
Phone
(973) 972-6257
Fax
(973) 972-8390
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08464500 NJ
Hematology & Oncology Physician 207RH0003X 250284-1 NY
Internal Medicine Physician 207R00000X 250284-1 NY
Hematology & Oncology Physician 207RH0003X 25MA08464500 NJ Primary

Addresses

Primary practice location

205 S Orange Ave
Suite a 1115, Cancer Center
Newark, NJ 07103-2785

Mailing address

205 S Orange Ave
Suite a 1115, Cancer Center
Newark, NJ 07103-2785
Phone (973) 972-6257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
250284-1NYMDInternal Medicine Physician
25MA08464500NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson University Hospital at Hamilton Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1255588109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S ORANGE AVE",
            "address_2": "SUITE A 1115, CANCER CENTER",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032785",
            "telephone_number": "973-972-6257",
            "fax_number": "973-972-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S ORANGE AVE",
            "address_2": "SUITE A 1115, CANCER CENTER",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032785",
            "telephone_number": "973-972-6257",
            "fax_number": "973-972-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKRABORTY",
        "first_name": "SAMHITA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08464500",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "250284-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250284-1",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA08464500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.