Eastern Pennsylvania Radiation Oncology PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

EASTERN PENNSYLVANIA RADIATION ONCOLOGY PC

Practice address

800 Mahoning St
Lehighton, PA 18235-1246

Phone

(610) 377-6881

Fax

(610) 377-6889

NPI assigned

May 22, 2009

Organization subpart

No

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

Authorized official

Name

David J Moylan, MD

Title

Owner

Phone

(570) 277-6812

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eastern Pennsylvania Radiation Oncology PC

  • Radiation Oncology Physician
  • New Philadelphia, PA
  • NPI 1881848315

  O20040504000669

  Same enrollment

Locations

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1457586216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ALLIANCE ST",
            "city": "NEW PHILADELPHIA",
            "state": "PA",
            "postal_code": "179591101",
            "telephone_number": "570-277-6218",
            "fax_number": "570-277-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAHONING ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351246",
            "telephone_number": "610-377-6881",
            "fax_number": "610-377-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PENNSYLVANIA RADIATION ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "MOYLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-277-6812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Joseph Donaghy, CRNP
• Nicholas Dorazio, DPT
• Dr Joseph McGinley PC
• Dr.L.Narayana Gajula & Associates
• Robert A Durako, DO
• Olivia Grace Eaton, RN
• Eckerd Corporation
• Lesley A Eggert, PA-C
• Kristin Ellis, CCC-SLP
• Cheryl Endy

• All providers in Lehighton, PA
• Radiation Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.