Brockton Radiation Oncology

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

BROCKTON RADIATION ONCOLOGY

Practice address

680 Centre St
Brockton, MA 02302-3308

Phone

(401) 521-9700

NPI assigned

Apr 10, 2008

Last updated

Jun 21, 2018By 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

Nicklas B Oldenburg, MDNPI 1801899760

Title

Medical Director

Phone

(401) 521-9700

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 8

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.

• Nicklas B Oldenburg, M.D.

  • Radiation Oncology Physician
  • Providence, RI
  • NPI 1801899760

  MA

  Medicare reassignment Care Compare group NPD Authorized official
• Michele Albert, MD

  • Radiation Oncology Physician
  • Boston, MA
  • NPI 1285691972
  Medicare reassignment Care Compare group NPD
• Steven Lane, M.D.

  • Radiation Oncology Physician
  • Brockton, MA
  • NPI 1346235256
  Medicare reassignment Care Compare group NPD
• Allen Yicheng Rossetti-Chung, M.D., PH.D.

  • Radiation Oncology Physician
  • Providence, RI
  • NPI 1669834552

  MA

  Medicare reassignment Care Compare group NPD
• Ahmed Aziz Chaudhary, M.D.

  • Radiation Oncology Physician
  • Brockton, MA
  • NPI 1205145398
  Medicare reassignment NPD
• Kathy Radie Keane, M.D.

  • Radiation Oncology Physician
  • Providence, RI
  • NPI 1912900879

  MA

  Medicare reassignment
• Donald R. Joyce, M.D.

  • Radiation Oncology Physician
  • Providence, RI
  • NPI 1871596833
  NPD
• Gabriela B Masko, M.D.

  • Radiation Oncology Physician
  • Providence, RI
  • NPI 1285637256
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1639342595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10050",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902677550",
            "telephone_number": "310-335-4056",
            "fax_number": "310-335-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "401-521-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON RADIATION ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "OLDENBURG",
        "authorized_official_first_name": "NICKLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "401-521-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DP1017",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110081865A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brockton Operator LLC (Brockton Post Acute Care)
• Brockton Oral & Maxillofacial Surgery Inc
• Brockton Pediatrics
• Brockton Pharmacy, LLC (Brockton Pharmacy)
• Brockton Physical Therapy & Rehabilitation, Inc.
• Brockton Radiological Associates, Inc.
• Brockton Recovery Medical Associates PC
• Brockton Rehabilitation and Nursing Center LLC (Champion Rehabilitation and Nursing Center)
• Brockton Rehabilitation Services Corp
• Brockton Smiles Youth Dentistry, LLC

• Radiation Oncology Physician in Brockton, MA
• Providers in Brockton, MA by specialty
• Radiation Oncology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.