Englewood Radiation Oncology, LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

25MA05022800 Issued in NJ

Legal business name

ENGLEWOOD RADIATION ONCOLOGY, LLC

Practice address

350 Engle St
Llo
Englewood, NJ 07631-1808

Phone

(201) 894-3125

Fax

(201) 894-0152

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David M. Dubin, M.D.NPI 1205881703

Title

President

Phone

(201) 894-3125

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• David M Dubin, MD

  • Radiation Oncology Physician
  • Englewood, NJ
  • NPI 1205881703
  Medicare reassignment Care Compare group Authorized official
• Mei Zhang, MD

  • Radiation Oncology Physician
  • Englewood, NJ
  • NPI 1457306045
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497700405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "address_2": "LLO",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-894-3125",
            "fax_number": "201-894-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "address_2": "LLO",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-894-3125",
            "fax_number": "201-894-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD RADIATION ONCOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUBIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-894-3125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA05022800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD DR. DUBIN",
            "identifier": "BS525",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5159300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD DR. ZHANG",
            "identifier": "P3226618",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP",
            "identifier": "7100293",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DR. DUBIN",
            "identifier": "2737974",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DR ZHANG",
            "identifier": "7303563",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Englewood Pain Center, P.a.
• Englewood Pain Group PC
• Englewood Pathologists, PA
• Englewood Physician'S Group LLC
• Englewood Psychotherapy and Wellness, LLC
• Englewood Radiologic Group P a
• Englewood Speech Therapy LLC
• Englewood Spine Associates LLC
• Englewood Surgical Associates, PA
• Englewood Surgical Services, LLC

• Radiation Oncology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Radiation Oncology Physician in New Jersey

• 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.
• 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.