Anil R Ponnambalam, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MA53803 Issued in NJ

Practice address

40 Bey Lea Road
Suite B102
Toms River, NJ 08753

Phone

(732) 244-3380

Fax

(732) 244-9013

NPI assigned

Sep 28, 2006

Last updated

Sep 28, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Cancer Care of New Jersey,PC

  • Hematology & Oncology Physician
  • Toms River, NJ
  • NPI 1255529244
  Medicare reassignment NPD
• Samir Jain MD PC

  • Cardiovascular Disease Physician
  • Toms River, NJ
  • NPI 1407183783
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1740372911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEY LEA ROAD",
            "address_2": "SUITE B102",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "732-244-3380",
            "fax_number": "732-244-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA ROAD",
            "address_2": "SUITE B102",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "732-244-3380",
            "fax_number": "732-244-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONNAMBALAM",
        "first_name": "ANIL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA53803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatyana Poll, PA-C
• Edward B Poller, DDS
• Stephanie Lynn Polperio, MSN, ACNPC-AG
• Svitlana Pominov, MD
• Ajit P Ponnambalam, MD
• Michael Ponticello
• Allan Pontipiedra, A.P.N., C.
• Maria Elma M Pontipiedra, FNP- BC
• Mark Edward Poplawski, DPM
• Deborah Ann Popplewell, O.D.

• Hematology & Oncology Physician in Toms River, NJ
• Providers in Toms River, 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 Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.