Organization Active NPI

Allentown Radiation Oncology Associates PC

  • Radiation Oncology Physician
  • Allentown, PA
National Provider Identifier
1275515686
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
ALLENTOWN RADIATION ONCOLOGY ASSOCIATES PC
Practice address
Cedar Crest & I78
Allentown, PA 18103-6248
Phone
(610) 402-0700
NPI assigned
Nov 19, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Charles Andrews, MDNPI 1427031657
Title
Chairman
Phone
(610) 402-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X PA Primary

Addresses

Primary practice location

Cedar Crest & I78
Allentown, PA 18103-6248

Mailing address

1020A E Boal Ave
Boalsburg, PA 16827-1509
Phone (814) 237-8627

Other identifiers 9

IdentifierTypeStateIssuer
0012359320007MedicaidPA
1029368OtherPAAMERIHEALTH MERCY
1029368OtherPAKEYSTONE MERCY
12140OtherPAUSHC
0498523000OtherPAKEYSTONE HEALTH PLAN EAST
1527166OtherPAGATEWAY HEALTH PLAN
0666015OtherPAKEYSTONE HEALTH PLAN CENT
402COtherPAGEISINGER HEALTH PLAN
666015OtherPABCBS PA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040304000440 PA Part B Supplier - Clinic/Group Practice 3971490715 Receives reassigned benefits from 10 practitioners
Practice locations: Allentown, PA; Bethlehem, PA; East Stroudsburg, PA; Easton, PA; Hazleton, PA

National Provider Directory

National Provider Directory

Locations

772 E Broad St
Ste 100
Hazleton, PA 18201
Phone (570) 501-1242

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275515686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020A E BOAL AVE",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271509",
            "telephone_number": "814-237-8627",
            "fax_number": "814-238-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CEDAR CREST & I78",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036248",
            "telephone_number": "610-402-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENTOWN RADIATION ONCOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "610-402-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012359320007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "1029368",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1029368",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC",
            "identifier": "12140",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0498523000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1527166",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENT",
            "identifier": "0666015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "402C",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PA",
            "identifier": "666015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.