Ellioth Fishkin MD LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

25MA03429100 Issued in NJ

Legal business name

ELLIOTH FISHKIN MD LLC

Practice address

776 E 3Rd Ave
Roselle, NJ 07203-1698

Phone

(908) 259-8817

Fax

(908) 259-8846

NPI assigned

Dec 4, 2006

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen Cocca, RN

Title

Practice Administrator

Phone

(908) 259-8817

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1497823645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 E 3RD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031698",
            "telephone_number": "908-259-8817",
            "fax_number": "908-259-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 E 3RD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031698",
            "telephone_number": "908-259-8817",
            "fax_number": "908-259-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTH FISHKIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "COCCA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "908-259-8817",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA03429100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Roselle, NJ
• Providers in Roselle, NJ by specialty
• Hematology & Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.