Community Cancer Centers of America LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MA38585 Issued in NJ

Legal business name

COMMUNITY CANCER CENTERS OF AMERICA LLC

Practice address

691 State Highway 33
Trenton, NJ 08619

Phone

(201) 215-5535

Fax

(844) 241-7242

NPI assigned

Aug 17, 2015

Last updated

Aug 17, 2015By 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

Mr. Pankaj K Akshay

Title

Billing Manager

Phone

(201) 215-5535

Specialties & licenses 1

Addresses

Tax ID family

Community Cancer Centers of America LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Community Cancer Centers of America LLC

  • Hematology & Oncology Physician
  • Bayonne, NJ
  • NPI 1942673280
  NPD tax ID

Locations

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1720454564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 STATE HIGHWAY 33",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "201-215-5535",
            "fax_number": "844-241-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 STATE HIGHWAY 33",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "201-215-5535",
            "fax_number": "844-241-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CANCER CENTERS OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "AKSHAY",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "201-215-5535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA38585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Hematology & Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.