Active NPI
Progressive Radiation Oncology
- Radiation Oncology Physician
- Somerville, NJ
National Provider Identifier
1568630903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 25MA06058800
- Legal business name
- PROGRESSIVE RADIATION ONCOLOGY
- Practice address
- 30 Rehill Ave
Somerville, NJ 08876-2500 - Phone
- (973) 322-4212
- Fax
- (973) 322-4132
- NPI assigned
- Feb 19, 2008
- Last updated
- Feb 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Bond, MD
- Title
- Radiation Oncologist
- Phone
- (973) 322-4212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 25MA06058800 | NJ | Primary |
Addresses
Primary practice location
30 Rehill Ave
Somerville, NJ 08876-2500
Mailing address
PO Box 659
Millburn, NJ 07041-0659
Phone (973) 322-4212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407852726 | Other | NJ | NPI, INDIVIDUAL |
| 6199003 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
30 Rehill Ave
Ste 1100
Somerville, NJ 08876
Phone (908) 769-5909
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Radiation Oncology Physician
- Huntington, WV
- NPI 1376520197
-
- Radiation Oncology Physician
- Huntington, WV
- NPI 1164409884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1568630903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 659",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070410659",
"telephone_number": "973-322-4212",
"fax_number": "973-322-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 REHILL AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762500",
"telephone_number": "973-322-4212",
"fax_number": "973-322-4132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVE RADIATION ONCOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "BOND",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "RADIATION ONCOLOGIST",
"authorized_official_telephone_number": "973-322-4212",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NJ",
"license": "25MA06058800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI, INDIVIDUAL",
"identifier": "1407852726",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6199003",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.