Intensity Modulated Radiation Therapy Associates P C

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTENSITY MODULATED RADIATION THERAPY ASSOCIATES P C

Practice address

231 E Brown St
East Stroudsburg, PA 18301-3005

Phone

(570) 476-3488

Fax

(570) 476-3473

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Michael J. Greenberg, M.D.

Title

Radiation Oncologist

Phone

(570) 476-3488

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1649279241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62254",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642254",
            "telephone_number": "570-451-3910",
            "fax_number": "570-451-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013005",
            "telephone_number": "570-476-3488",
            "fax_number": "570-476-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSITY MODULATED RADIATION THERAPY ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "RADIATION ONCOLOGIST",
        "authorized_official_telephone_number": "570-476-3488",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001730254",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florate Hyatt-Israel, CRNP
• Andre Lloyd Hylton, MD
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• Mark Francis Indzonka, MD
• Infectious Disease Cons LLC
• Samantha Leigh Irizarry, MSW, LSW
• Jill Isaacson, MS
• Shannon Ives, CRNP
• Jack Gold Surgical Appliances, Inc.
• Jonnie R. Jackson

• Specialist in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.