Organization Active NPI

East Coast Radiation Oncology Associates Newark Beth Israel, PA

  • Radiation Oncology Physician
  • Newark, NJ
National Provider Identifier
1578698601
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MB06193300 Issued in NJ
Legal business name
EAST COAST RADIATION ONCOLOGY ASSOCIATES NEWARK BETH ISRAEL, PA
Practice address
201 Lyons Ave
Dept of Radiation Oncology - E2
Newark, NJ 07112-2027
Phone
(973) 322-4212
Fax
(973) 322-4132
NPI assigned
Feb 22, 2007
Last updated
May 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Robert A Ivker, DONPI 1922133057
Title
Radiation Oncologist
Phone
(973) 926-7320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 25MB06193300 NJ Primary

Addresses

Primary practice location

201 Lyons Ave
Dept of Radiation Oncology - E2
Newark, NJ 07112-2027

Mailing address

201 Lyons Ave
Dept of Radiation Oncology - E2
Newark, NJ 07112-2027
Phone (973) 322-4212

Other identifiers 1

IdentifierTypeStateIssuer
7739001MedicaidNJ

National Provider Directory

National Provider Directory

Locations

201 Lyons Ave
#E2
Newark, NJ 07112
Phone (973) 322-4212

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1578698601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "address_2": "DEPT OF RADIATION ONCOLOGY - E2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "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": "201 LYONS AVE",
            "address_2": "DEPT OF RADIATION ONCOLOGY - E2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-322-4212",
            "fax_number": "973-322-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST RADIATION ONCOLOGY ASSOCIATES NEWARK BETH ISRAEL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "IVKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RADIATION ONCOLOGIST",
        "authorized_official_telephone_number": "973-926-7320",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MB06193300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7739001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.