Active NPI
East Coast Radiation Oncology Associates Newark Beth Israel, PA
- Radiation Oncology Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 25MB06193300
- 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, 2009
- 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
- Robert A Ivker, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7739001 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Radiation Oncology Physician
- West Orange, NJ
- NPI 1922133057
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.