Organization Active NPI

Lebanon Oncology & Hematology Assoc.

  • Hematology & Oncology Physician
  • Lebanon, PA
National Provider Identifier
1457360471
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
PE133702 Issued in PA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ruben Perez, MDNPI 1629061452
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02789600OtherPACAPITAL BLUE CROSS
573400OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.