Wayne Cancer Center, LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

WAYNE CANCER CENTER, LLC

Practice address

234 Hamburg Tpke.
Wayne, NJ 07470-2149

Phone

(973) 310-0300

Fax

(201) 855-8360

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John Hajjar, MD

Title

Owner

Phone

(201) 855-8302

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Robert Blank, MD

  • Radiation Oncology Physician
  • Pompton Plains, NJ
  • NPI 1205864964
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1740693407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HARRISTOWN RD",
            "address_2": "SECOND FLOOR",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523307",
            "telephone_number": "201-855-8360",
            "fax_number": "201-599-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 HAMBURG TPKE.",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702149",
            "telephone_number": "973-310-0300",
            "fax_number": "201-855-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE CANCER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-855-8302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghassan Louis Wardeh, MD
• Karen Marie Wardlaw, MD, MPH,FACP, FACOEM
• Zakiyyah Waters, DPM
• Wayne Behavioral Service, LLC
• Wayne Behavioral Service, LLC
• Wayne Cardiology, LLC
• Wayne Cardiology,LLC
• Wayne Counseling and Family Services
• Wayne Counseling Center, Inc. (Wayne Counseling and Family Services)
• Wayne Counseling Center, Inc. (Wayne Counseling & Family Services)

• Radiation Oncology Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Radiation Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.