Sparta Cancer Center LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

SPARTA CANCER CENTER LLC

Practice address

89 Sparta Ave
Sparta, NJ 07871-1777

Phone

(973) 729-7001

Fax

(973) 729-0256

NPI assigned

May 11, 2006

Last updated

Jul 15, 2026By 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

Elsie J Ward

Title

Admin. Assistant/Credentialist

Phone

(570) 504-7210

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 5

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.

• Lawrence Daniel Koutcher, M.D.

  • Radiation Oncology Physician
  • Poughkeepsie, NY
  • NPI 1316141773

  NJ

  Medicare reassignment NPD
• Kathy Kai Yee Lo, MD

  • Radiation Oncology Physician
  • Sparta, NJ
  • NPI 1306065479
  Medicare reassignment
• Jose L Pino-Y-Torres, M.D.

  • Radiation Oncology Physician
  • Milford, PA
  • NPI 1053310672
  NPD (past)
• Sarah Stork Tatko, PA

  • Medical Physician Assistant
  • Bomoseen, VT
  • NPI 1598908683
  NPD (past)
• CHI K Tsang, M.D.

  • Radiation Oncology Physician
  • Elmira, NY
  • NPI 1467457531
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1649220690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MEADE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123169",
            "telephone_number": "570-504-7210",
            "fax_number": "570-955-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711777",
            "telephone_number": "973-729-7001",
            "fax_number": "973-729-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA CANCER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMIN. ASSISTANT/CREDENTIALIST",
        "authorized_official_telephone_number": "570-504-7210"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116441",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sos Wellness and Organics, LLC
• Melissa Maria Sotillo, MD
• SP Eyecare of Sparta (Pearle Vision Of Sparta)
• Sparta Ambulance Service Inc
• Sparta Anesthesia Associates, LLC
• Sparta Chiropractic and Wellness Center, LLC
• Sparta Dental Arts LLC
• Sparta Dental Associates
• Sparta Dental Designs
• Sparta Fit for Life, LLC

• Radiation Oncology Physician in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Radiation Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.