Organization Active NPI

Rockdale Newton Hematology Oncology

  • Hematology & Oncology Physician
  • Covington, GA
National Provider Identifier
1336279140
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
035033 Issued in GA
Legal business name
ROCKDALE NEWTON HEMATOLOGY ONCOLOGY
Practice address
4139 Baker St NE
Covington, GA 30014-1405
Phone
(770) 786-9499
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Mr. Anil J Desai, MDNPI 1578670071
Title
Owner
Phone
(770) 786-9499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 035033 GA Primary

Addresses

Primary practice location

4139 Baker St NE
Covington, GA 30014-1405

Mailing address

4139 Baker St NE
Covington, GA 30014-1405
Phone (770) 786-9499

Other identifiers 1

IdentifierTypeStateIssuer
00588266CMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110425000456 GA Part B Supplier - Clinic/Group Practice 1355526914 Receives reassigned benefits from 1 practitioner
Practice locations: Conyers, GA; Covington, GA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHJBDA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1336279140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 BAKER ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141405",
            "telephone_number": "770-786-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 BAKER ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141405",
            "telephone_number": "770-786-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKDALE NEWTON HEMATOLOGY ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-786-9499",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "035033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00588266C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.