Active NPI
New Jersey Cancer and Integrated Medicine Center, LLC
- Hematology & Oncology Physician
- Englewood Cliffs, NJ
National Provider Identifier
1780150342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- NEW JERSEY CANCER AND INTEGRATED MEDICINE CENTER, LLC
- Practice address
- 464 Hudson Ter Ste 200
Englewood Cliffs, NJ 07632-2917 - Phone
- (201) 408-5442
- NPI assigned
- Oct 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hai Sun Park
- Title
- President
- Phone
- (201) 408-5442
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
464 Hudson Ter Ste 200
Englewood Cliffs, NJ 07632-2917
Mailing address
464 Hudson Ter Ste 201
Englewood Cliffs, NJ 07632-2917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
464 Hudson Ter
Ste 201
Englewood Cliffs, NJ 07632
Phone (201) 503-0828
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Englewood Cliffs, NJ
- NPI 1508805839
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553644800000",
"number": "1780150342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 HUDSON TER STE 201",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 HUDSON TER STE 200",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322917",
"telephone_number": "201-408-5442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY CANCER AND INTEGRATED MEDICINE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-22",
"last_updated": "2019-03-27",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "HAI SUN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-408-5442"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.