NPIMap

Organization Active NPI

North Shore Hematology Oncology Associates PC

Doing business as Ny Cancer & Blood Specialists

  • Diagnostic Radiology Physician
  • Port Jefferson Station, NY
National Provider Identifier
1336977602
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
Doing business as
Ny Cancer & Blood Specialists
Practice address
1500 Route 112 BLDG 1
Port Jefferson Station, NY 11776-8055
Phone
(631) 751-3000
NPI assigned
Jul 26, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Patricia Dandraia
Title
Senior Director of Credentialing
Phone
(631) 751-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1500 Route 112 BLDG 1
Port Jefferson Station, NY 11776-8055

Mailing address

1 Research Rd
Ridge, NY 11961-2701
Phone (631) 751-3000

Other names 1

  • NY CANCER & BLOOD SPECIALISTS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Joseph S Cirrone70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1500 Route 112
Bldg 1
Port Jefferson Station, NY 11776

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1336977602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RESEARCH RD",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612701",
            "telephone_number": "631-751-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 BLDG 1",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768055",
            "telephone_number": "631-751-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "DANDRAIA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "631-751-3000"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NY CANCER & BLOOD SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.