Northeast Medical Oncology Associates, Inc.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

MD037484E Issued in PA

Legal business name

NORTHEAST MEDICAL ONCOLOGY ASSOCIATES, INC.

Practice address

1740 E Broad St
Hazleton, PA 18201-5667

Phone

(570) 459-2902

Fax

(570) 459-6090

NPI assigned

Aug 23, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harsh Gandhi, MDNPI 1578556791

Title

Director Active,Attending

Phone

(570) 459-2902

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Harsh Gandhi, MD

  • Medical Oncology Physician
  • Hazleton, PA
  • NPI 1578556791
  NPD (past) Authorized official
• Jose I Castillo, MD

  • Medical Oncology Physician
  • Hazleton, PA
  • NPI 1245223478
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710970074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015667",
            "telephone_number": "570-459-2902",
            "fax_number": "570-459-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015667",
            "telephone_number": "570-459-2902",
            "fax_number": "570-459-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MEDICAL ONCOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "HARSH",
        "authorized_official_title_or_position": "DIRECTOR ACTIVE,ATTENDING",
        "authorized_official_telephone_number": "570-459-2902",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD037484E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1199818",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northland Hearing Centers, Inc (Hear PA)

• Medical Oncology Physician in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Medical Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.