Individual provider Active NPI

Dale M Janson, PA

  • Hematology & Oncology Physician
  • Stony Brook, NY
National Provider Identifier
1326168337
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
001743 Issued in NY
Practice address
Stony Brook University Cancer Ctr
3 Edmund Pellegrino Road
Stony Brook, NY 11794-8183
Phone
(631) 444-3577
Fax
(631) 444-8909
NPI assigned
Mar 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 001743 NY Primary

Addresses

Primary practice location

Stony Brook University Cancer Ctr
3 Edmund Pellegrino Road
Stony Brook, NY 11794-8183

Mailing address

Stony Brook University Hospital
HSC T-18, Room 030
Stony Brook, NY 11794-8183
Phone (631) 444-3577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001743NYMDHematology & Oncology Physician

Interoperability endpoints

  • Direct secure messaging: dale.janson@direct.stonybrookmedicine.edu

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1326168337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "HSC T-18, ROOM 030",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948183",
            "telephone_number": "631-444-3577",
            "fax_number": "631-444-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY CANCER CTR",
            "address_2": "3 EDMUND PELLEGRINO ROAD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948183",
            "telephone_number": "631-444-3577",
            "fax_number": "631-444-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSON",
        "first_name": "DALE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "001743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.