Colfax Oncology LLC
Organization Active NPI Hematology & Oncology Physician · Paterson, NJ
NPI 1356570477 · NPPES record last updated Jul 10, 2009
Key facts
- NPI
- 1356570477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- MA06112700 (NJ)
- Legal business name
- COLFAX ONCOLOGY LLC
- Practice address
- 680 Broadway
Paterson, NJ 07514-1422 - Phone
- (973) 594-7977
- Fax
- (877) 958-7233
- NPI assigned
- Jul 10, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Richards Afonja, MD
- Title
- Owner
- Phone
- (973) 594-7977
Corporate family (same tax ID) 1
Practitioners 7
-
Richards Afonja, MD
-
Irene B Ambe-Nguni, APN
-
Irina Zargarian, NP-C
-
Masumeh Rafati Javidan, M.D.
National Provider Directory
- Tax ID family
- Colfax Oncology
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | MA06112700 | NJ | Yes |
Addresses
Primary practice location
680 Broadway
Paterson, NJ 07514-1422
Mailing address
PO Box 857
Clifton, NJ 07015-0857
Phone (973) 594-7977
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31D1086344 | Other | NJ | CLIA NUMBER |
| 0193810 | Medicaid | NJ |
Other providers in Paterson, NJ
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- Barbara M Cocovinis
- Voile Ann Cohen
- Matthew Steven Colantoni
- College Achieve Paterson Charter School
- Mario Charles Colletti
- Karen Marie Collins
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All providers in Paterson, NJ · Hematology & Oncology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.