Atlantic Regional Cancer Center, LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

25MA04454500 Issued in NJ

Legal business name

ATLANTIC REGIONAL CANCER CENTER, LLC

Practice address

4 E Jimmie Leeds Rd
Suite 4
Galloway, NJ 08205-4465

Phone

(609) 465-7906

NPI assigned

Jun 23, 2011

Last updated

Jun 23, 2011By 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

Vijay K Gandhi, MD

Title

President

Phone

(609) 465-3995

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nora Hogan, APNC

  • Nurse Practitioner
  • Galloway, NJ
  • NPI 1568592582
  NPD (past)

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1508152950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E JIMMIE LEEDS RD",
            "address_2": "SUITE 4",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054465",
            "telephone_number": "609-465-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E JIMMIE LEEDS RD",
            "address_2": "SUITE 4",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054465",
            "telephone_number": "609-465-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC REGIONAL CANCER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-465-3995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA04454500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1264800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlantic Medical Imaging
• Atlantic Oncology Associates, LLC
• Atlantic Pain and Physical Medicine PC
• Atlantic Primary Care PC
• Atlantic Pulmonary & Critical Care Associates PA
• Atlantic Sleep Health Diagnostic Associates LLC
• Atlanticare Behavioral Health, Inc
• Atlanticare Health Services Inc. (AtlantiCare Mission Health Care Galloway)
• Atlanticare Physician Group PA (AtlantiCare Urgent Care- Galloway Township)
• Atlanticare Physician Group, PA (AtlantiCare Urgent Care)

• Hematology & Oncology Physician in Galloway, NJ
• Providers in Galloway, 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 Jun 23, 2011; 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.