Active NPI
Lemuel S. Ariaratnam, M.D.
- Radiation Oncology Physician
- Mount Holly, NJ
National Provider Identifier
1326040890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 25MA03280800
- Practice address
- 175 Madison Ave
Mount Holly, NJ 08060-2038 - Phone
- (609) 267-0700
- Fax
- (609) 261-4180
- NPI assigned
- Aug 13, 2005
- Last updated
- Sep 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 25MA03280800 | NJ | Primary |
Addresses
Primary practice location
175 Madison Ave
Mount Holly, NJ 08060-2038
Mailing address
1295 Route 38
P.O. Box 479
Hainesport, NJ 08036-2702
Phone (609) 261-7017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0858404 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03280800 | NJ | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Radiation Oncology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Radiology Associates of Burlington County P a | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Radiation Oncology Physician
- Mount Holly, NJ
- NPI 1598714792
-
- Radiation Oncology Physician
- Philadelphia, PA
- NPI 1467840488
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Diagnostic Radiology Physician
- Mount Holly, NJ
- NPI 1255385183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1326040890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 ROUTE 38",
"address_2": "P.O. BOX 479",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "080362702",
"telephone_number": "609-261-7017",
"fax_number": "609-261-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MADISON AVE",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602038",
"telephone_number": "609-267-0700",
"fax_number": "609-261-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARIARATNAM",
"first_name": "LEMUEL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-13",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NJ",
"license": "25MA03280800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0858404",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.