Arvin Jay Adler, D.O.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

25MB06502100 Issued in NJ

Practice address

350 Boulevard
Passaic, NJ 07055-2840

Phone

(973) 365-5088

Fax

(973) 365-4448

NPI assigned

Jul 12, 2005

Last updated

Feb 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Radiation Oncology

Education

New York College of Osteo Medicine of New York Institute of Technology, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary's General Hospital Hospital, Passaic, NJ, CCN 310006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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

• St Marys General Medical Group PC

  • Internal Medicine Physician
  • Passaic, NJ
  • NPI 1477261741
  Medicare reassignment Care Compare group NPD
• Prime Healthcare Services - St. Mary's Passaic, LLC

  dba St. Mary's Hospital

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1730508250
  Medicare reassignment NPD
• SMGH Physician Practice Management, LLC

  • Internal Medicine Physician
  • Passaic, NJ
  • NPI 1033578075
  Medicare reassignment NPD
• Prime Healthcare Services - St. Mary's Passaic LLC

  dba St. Mary's Hospital

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1770901761
  NPD
• 21St Century Oncology of New Jersey, Inc.

  • Radiation Oncology Physician
  • Voorhees, NJ
  • NPI 1578543930
  NPD (past)
• Hudson Anesthesiology Services, LLC

  • Anesthesiology Physician
  • Hoboken, NJ
  • NPI 1316978414
  NPD (past)
• Healthcare Radiology and Diagnostic Systems PLLC

  • Diagnostic Radiology Physician
  • Bronx, NY
  • NPI 1508864570
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - St. Mary's Passaic LLC

  dba St. Mary's Hospital

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1770901761
  Care Compare affiliation

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1265430433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-5088",
            "fax_number": "973-365-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-5088",
            "fax_number": "973-365-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "ARVIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "173393",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MB06502100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01096446",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Accredited Health Services
• Accredited Health Services, Inc.
• Marie Ann Addesa, APN, D.C.
• Olaniyi Samson Adedayo, MD
• Alexander Adler
• Advanced Interventional Pain Management, LLC
• After Hours Physical Therapy LLC
• Mildred Agres, MD
• Ahkami Medical Group
• Shahrokh Ahkami, M.D.

• Radiation Oncology Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Radiation Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.