Active NPI
Lebanon Oncology & Hematology Assoc.
- Hematology & Oncology Physician
- Lebanon, PA
National Provider Identifier
1457360471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- PE133702
- Legal business name
- LEBANON ONCOLOGY & HEMATOLOGY ASSOC.
- Practice address
- 4TH & Willow St
Hyman S Caplan Pavilion
Lebanon, PA 17046 - Phone
- (717) 274-8875
- NPI assigned
- Aug 7, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ruben Perez, MD
- Title
- Physician
- Phone
- (717) 274-8873
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | PE133702 | PA | Primary |
| Hematology & Oncology Physician | 207RH0003X | 036017E | PA |
Addresses
Primary practice location
4TH & Willow St
Hyman S Caplan Pavilion
Lebanon, PA 17046
Mailing address
220 S Railroad St
P.O. Box 312
Palmyra, PA 17078
Phone (717) 838-6462
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02789600 | Other | PA | CAPITAL BLUE CROSS |
| 573400 | Other | PA | HIGHMARK BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
220 S Railroad St
Palmyra, PA 17078
Phone (215) 478-1202
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hematology & Oncology Physician
- Lebanon, PA
- NPI 1629061452
-
- Hematology & Oncology Physician
- Ephrata, PA
- NPI 1225021850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457360471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S RAILROAD ST",
"address_2": "P.O. BOX 312",
"city": "PALMYRA",
"state": "PA",
"postal_code": "17078",
"telephone_number": "717-838-6462",
"fax_number": "717-838-5659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4TH & WILLOW ST",
"address_2": "HYMAN S CAPLAN PAVILION",
"city": "LEBANON",
"state": "PA",
"postal_code": "17046",
"telephone_number": "717-274-8875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEBANON ONCOLOGY & HEMATOLOGY ASSOC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "RUBEN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "717-274-8873",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "PE133702",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "036017E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02789600",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "573400",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
- Lebanon Imaging Associates, PC
- Lebanon Internal Medicine Associates PC
- Lebanon Internal Medicine Associates, P.C.
- Lebanon MRI Associates, LTD (GSH Imaging Center)
- Lebanon OB GYN Associates
- Lebanon Ophthalmic Associates
- Lebanon Oral Surgery Group PLLC
- Lebanon Orthopaedic Associates
- Lebanon Outpatient Surgical Center L.P.
- Lebanon Pain Relief Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.