Individual provider Active NPI

Anthony C Ingenito, MD

  • Radiation Oncology Physician
  • Bloomfield, NJ
National Provider Identifier
1710940127
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MA06354300 Issued in NJ
Practice address
1515 Broad St Ste B120
Bloomfield, NJ 07003-3059
Phone
(973) 873-7000
Fax
(973) 743-8943
NPI assigned
Apr 7, 2006
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 25MA06354300 NJ Primary

Addresses

Primary practice location

1515 Broad St Ste B120
Bloomfield, NJ 07003-3059

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050408000241 NJ Practitioner - Radiation Oncology 9234114042 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Rutgers New Jersey Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (609) 835-2900

155 State St
Hackensack, NJ 07601-5419
Phone (844) 346-7222

218 A Sunset Rd
Willingboro, NJ 08046-1110
Phone (609) 835-2900

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06354300NJMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Apr 13, 2023 Accepting new patients
Totowa Cancer Center CurrentSince Jan 13, 2024 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Aug 14, 1996 Accepting new patients
Regional Cancer Care Associates LLC Radiation Oncology CurrentSince Aug 14, 1996 Accepting new patients
Summit Medical Group PA CurrentSince Apr 13, 2023 Accepting new patients
Hackensack Radiology Group PA Past Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

155 State St
Hackensack, NJ 07601
Phone (201) 487-5300

25 Main St
Ste 601
Hackensack, NJ 07601
Phone (201) 510-0910

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

92 2nd St
Hackensack, NJ 07601
Phone (551) 996-2210

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

225 Minnisink Rd
Totowa, NJ 07512
Phone (862) 657-3000

Interoperability endpoints

  • Direct secure messaging: aingenito278748@ahs.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1710940127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BROAD ST STE B120",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033059",
            "telephone_number": "973-873-7000",
            "fax_number": "973-743-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGENITO",
        "first_name": "ANTHONY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA06354300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.