Organization Active NPI

North Jersey Radiation Oncology Associates, PA

  • Therapeutic Radiology Physician
  • Paterson, NJ
National Provider Identifier
1750493326
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
MA37836 Issued in NJ
Legal business name
NORTH JERSEY RADIATION ONCOLOGY ASSOCIATES, PA
Practice address
703 Main St
Radiation Oncology Dept.
Paterson, NJ 07503-2621
Phone
(973) 754-2683
Fax
(973) 754-2679
NPI assigned
Aug 31, 2006
Last updated
Jul 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Dr. Thomas M Herskovic, MD
Title
President
Phone
(973) 754-2683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X MA37836 NJ Primary

Addresses

Primary practice location

703 Main St
Radiation Oncology Dept.
Paterson, NJ 07503-2621

Mailing address

98 Ford Rd
Suite 3-H
Denville, NJ 07834-1374
Phone (973) 625-3366

Other identifiers 1

IdentifierTypeStateIssuer
6065708MedicaidNJ

National Provider Directory

National Provider Directory

Locations

98 Ford Rd
Ste 34
Denville, NJ 07834

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1750493326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 FORD RD",
            "address_2": "SUITE 3-H",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341374",
            "telephone_number": "973-625-3366",
            "fax_number": "973-625-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "address_2": "RADIATION ONCOLOGY DEPT.",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2683",
            "fax_number": "973-754-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY RADIATION ONCOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "HERSKOVIC",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-754-2683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NJ",
            "license": "MA37836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6065708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.