NPIMap

Organization Active NPI

Metcare Oncology

  • Hematology & Oncology Physician
  • Ormond Beach, FL
National Provider Identifier
1720462773
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
METCARE ONCOLOGY
Practice address
1200 W Granada Blvd
Suite 1
Ormond Beach, FL 32174-8156
Phone
(386) 615-1056
Fax
(386) 615-1033
NPI assigned
Jul 18, 2015
Last updated
Jun 10, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
METROPOLITAN HEALTH NETWORKS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Gemma Rosello
Title
Vice President
Phone
(561) 805-8530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1200 W Granada Blvd
Suite 1
Ormond Beach, FL 32174-8156

Mailing address

6101 Blue Lagoon Dr
Suite 400
Miami, FL 33126-2055
Phone (305) 500-2114

Other identifiers 1

IdentifierTypeStateIssuer
PTANOtherFLCX415B

National Provider Directory

National Provider Directory
Tax ID family
Metcare of Boca Raton29 organizations share this tax ID, including this one
Part of
Albert Zamek

Other organizations with this tax ID 28

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

View all 28

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1720462773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR",
            "address_2": "SUITE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262055",
            "telephone_number": "305-500-2114",
            "fax_number": "305-370-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GRANADA BLVD",
            "address_2": "SUITE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748156",
            "telephone_number": "386-615-1056",
            "fax_number": "386-615-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METCARE ONCOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROPOLITAN HEALTH NETWORKS, INC",
        "enumeration_date": "2015-07-18",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "ROSELLO",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-805-8530"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CX415B",
            "identifier": "PTAN",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.