Hematology Oncology Associates of North Jersey, LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC

Practice address

1225 Hancock Rd
Suite 204
Bullhead City, AZ 86442

Phone

(928) 219-4560

Fax

(928) 219-4561

NPI assigned

Oct 7, 2020

Organization subpart

No

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

Authorized official

Name

Hamdy A. Mohtaseb, MD

Title

President

Phone

(928) 681-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Hematology Oncology Ass3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• H.O.a.N.J., LLC

  • Hematology & Oncology Physician
  • Golden Valley, AZ
  • NPI 1902057748
  NPD tax ID
• Hematology Oncology Associates of North Jersey, LLC

  dba Dr. Mohtaseb Cancer Center and Blood Disorders

  • Hematology & Oncology Physician
  • Fort Mohave, AZ
  • NPI 1881078889
  NPD tax ID

Locations

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1700483252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 STOCKTON HILL ROAD",
            "address_2": "SUITE B368",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-681-1234",
            "fax_number": "928-681-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD",
            "address_2": "SUITE 204",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-219-4560",
            "fax_number": "928-219-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "MOHTASEB",
        "authorized_official_first_name": "HAMDY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-681-1234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080714",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bart Robert Hayes, D.C.
• Benjamin Lawrence Hayes, AZ HIS #4659
• Melinda M Hayes, MD
• Erin Mary Healey, FNP-BC
• Heart Care Center PC
• Hematology-Oncology Associates of North Jersey LLC (Dr. Mohtaseb's Cancer Center And Blood Disorders)
• Maria Hernandez
• Hidrk Health Care PC (Western Arizona Family Practice)
• Jackie Ho, PHARMD
• Kara June Holden, D.C.

• Hematology & Oncology Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.