NPIMap

Organization Active NPI

Oneida Health Roswell Park Oncology LLC

  • Radiation Oncology Physician
  • Oneida, NY
National Provider Identifier
1639634900
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
ONEIDA HEALTH ROSWELL PARK ONCOLOGY LLC
Practice address
601 Seneca St
Oneida, NY 13421
Phone
(315) 361-2351
Fax
(315) 361-2352
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Ms. Mary Parry
Title
President & Authorized Official
Phone
(315) 361-2045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

601 Seneca St
Oneida, NY 13421

Mailing address

601 Seneca St
Oneida, NY 13421-2627
Phone (315) 361-2351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190823001157 NY Part B Supplier - Radiation Therapy Center 7214265552 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Oneida, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Oneida Health Roswell Park Oncology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1639634900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SENECA ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212627",
            "telephone_number": "315-361-2351",
            "fax_number": "315-361-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SENECA ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "13421",
            "telephone_number": "315-361-2351",
            "fax_number": "315-361-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEIDA HEALTH ROSWELL PARK ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT & AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "315-361-2045",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.