Active NPI
Vassiliki Karantza-Wadsworth
- Medical Oncology Physician
- New Brunswick, NJ
National Provider Identifier
1710928189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 25MA076203
- Practice address
- 195 Little Albany St
New Brunswick, NJ 08901-1914 - Phone
- (732) 235-6777
- Fax
- (732) 235-7355
- NPI assigned
- Jun 9, 2006
- Last updated
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 25MA076203 | NJ | Primary |
Addresses
Primary practice location
195 Little Albany St
New Brunswick, NJ 08901-1914
Mailing address
66 West Gilbert St
Red Bank, NJ 07701
Phone (732) 212-0051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0154245 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA076203 | NJ | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1710928189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 WEST GILBERT ST",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 LITTLE ALBANY ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011914",
"telephone_number": "732-235-6777",
"fax_number": "732-235-7355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARANTZA-WADSWORTH",
"first_name": "VASSILIKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NJ",
"license": "25MA076203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0154245",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.