Organization Active NPI

Twin Forks Hematology Oncology PC7

  • Hematology & Oncology Physician
  • Riverhead, NY
National Provider Identifier
1275652455
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
202139 Issued in NY
Legal business name
TWIN FORKS HEMATOLOGY ONCOLOGY PC7
Practice address
1267 E Main St
Riverhead, NY 11901-2673
Phone
(631) 727-7100
Fax
(631) 727-6754
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Susan S Emanuele, M.D.
Title
President
Phone
(631) 727-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 202139 NY Primary

Addresses

Primary practice location

1267 E Main St
Riverhead, NY 11901-2673

Mailing address

1267 E Main St
Riverhead, NY 11901-2673
Phone (631) 727-7100

Other identifiers 1

IdentifierTypeStateIssuer
4498240002OtherDME

National Provider Directory

National Provider Directory

Locations

1267 E Main St
Ste A
Riverhead, NY 11901
Phone (631) 259-3290

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1275652455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012673",
            "telephone_number": "631-727-7100",
            "fax_number": "631-727-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012673",
            "telephone_number": "631-727-7100",
            "fax_number": "631-727-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN FORKS HEMATOLOGY ONCOLOGY PC7",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "EMANUELE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-727-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "202139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "4498240002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.