Organization Active NPI

Colfax Oncology LLC

  • Specialist
  • Clifton, NJ
National Provider Identifier
1649225525
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA61127 Issued in NJ
Legal business name
COLFAX ONCOLOGY LLC
Practice address
476 Colfax Ave
Clifton, NJ 07013-1624
Phone
(973) 594-7977
NPI assigned
May 23, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Richards Afonja, MDNPI 1255300141
Title
Owner
Phone
(973) 594-7977

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
Specialist 174400000X MA61127 NJ Primary

Addresses

Primary practice location

476 Colfax Ave
Clifton, NJ 07013-1624

Mailing address

PO Box 857
Clifton, NJ 07015-0857
Phone (973) 594-7977

Other identifiers 1

IdentifierTypeStateIssuer
6763901MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080414000283 NJ Part B Supplier - Clinic/Group Practice 4981781010 Receives reassigned benefits from 7 practitioners
Practice locations: Clifton, NJ; Paterson, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1037537Colfax Oncology LLC476 Colfax Avenue, Clifton, NJ 07013Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Colfax 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 7

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1649225525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 857",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070150857",
            "telephone_number": "973-594-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 COLFAX AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131624",
            "telephone_number": "973-594-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLFAX ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "AFONJA",
        "authorized_official_first_name": "RICHARDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-594-7977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA61127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6763901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.