Thomas R. Eanelli Radiation Oncology Services, PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

172417 Issued in NY

Legal business name

THOMAS R. EANELLI RADIATION ONCOLOGY SERVICES, PLLC

Practice address

75 Crystal Run Rd
Middletown, NY 10941-7000

Phone

(845) 695-5999

Fax

(845) 695-5832

NPI assigned

Jul 23, 2010

Organization subpart

No

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

Authorized official

Name

Thomas R. Eanelli, M.D.NPI 1407800915

Title

Owner

Phone

(201) 252-8468

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Eanelli, M.D.

  • Radiation Oncology Physician
  • Middletown, NY
  • NPI 1407800915
  Medicare reassignment NPD Authorized official
• Emelito Gonzales, M.D.

  • Radiation Oncology Physician
  • Middletown, NY
  • NPI 1497709091
  Medicare reassignment
• Michael J. Gallagher, M.D.

  • Radiation Oncology Physician
  • Lewistown, PA
  • NPI 1598760431
  NPD (past)

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1497068043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INTERNATIONAL BLVD",
            "address_2": "SUITE 1130",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074950027",
            "telephone_number": "201-252-8468",
            "fax_number": "201-252-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-695-5999",
            "fax_number": "845-695-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R. EANELLI RADIATION ONCOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "EANELLI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-252-8468",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "172417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiong Hiap The, MBBS
• Therapist Without Borders
• Heather Theysohn Hosseini
• Bernadette Thiel
• Thomas E. Littner, D.D.S., P.C.
• Achnee Thomas-Rainvil
• Allan Thomas, LCSW-R
• Dhanya Thomas, NURSE PRACTITIONER
• Stephanie Thomas, SERVICE COORDINATOR
• Tennille Thomas

• Radiation Oncology Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.