Organization Active NPI

Combined Hematology and Oncology Practice of NJ PA

  • Hematology & Oncology Physician
  • Jersey, NJ
National Provider Identifier
1497829410
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
COMBINED HEMATOLOGY AND ONCOLOGY PRACTICE OF NJ PA
Practice address
210 Palisade Avenue
Jersey, NJ 07306
Phone
(201) 963-2213
Fax
(201) 963-7070
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Mark Druck, MD
Title
President
Phone
(201) 963-2213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

210 Palisade Avenue
Jersey, NJ 07306

Mailing address

210 Palisade Ave
Jersey, NJ 07306
Phone (201) 963-2213

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1497829410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PALISADE AVE",
            "city": "JERSEY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-963-2213",
            "fax_number": "201-963-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PALISADE AVENUE",
            "city": "JERSEY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-963-2213",
            "fax_number": "201-963-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMBINED HEMATOLOGY AND ONCOLOGY PRACTICE OF NJ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "DRUCK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-963-2213",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.