RJ Ir Vascular and Oncology Center PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

RJ IR VASCULAR AND ONCOLOGY CENTER PLLC

Practice address

2385 Bowes Rd Ste 350
Elgin, IL 60123-5501

Phone

(312) 927-5665

Fax

(323) 433-9177

NPI assigned

Mar 2, 2021

Last updated

Mar 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rotimi Johnson, MDNPI 1144537051

Title

President

Phone

(312) 927-5665

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Rotimi Johnson, MD

  • Vascular & Interventional Radiology Physician
  • Elgin, IL
  • NPI 1144537051

  IA

  Medicare reassignment NPD Authorized official
• Tina M Hudzinski Newell, APRN

  • Gerontology Nurse Practitioner
  • Rockford, IL
  • NPI 1386459709
  NPD (past)

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1275128282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 BOWES RD STE 350",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235501",
            "telephone_number": "312-927-5665",
            "fax_number": "323-433-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 BOWES RD STE 350",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235501",
            "telephone_number": "312-927-5665",
            "fax_number": "323-433-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ IR VASCULAR AND ONCOLOGY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROTIMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-927-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Rivera
• Viviana Rivera, FNP
• Juan Rivero
• Toni Ann Riveros, M.D.
• Anthony Francis Rizzo, D.O.
• Roan Solutions LLC
• Jennifer Roberts, PHARMD
• Kiley Roberts, P.A.-C
• Stephanie Roberts, DT
• Wesley Daniel Roberts, MD

• Vascular & Interventional Radiology Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Vascular & Interventional Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.