Active NPI
Premier Radiation Oncology of Nassau, PC
- Radiation Oncology Physician
- Great Neck, NY
National Provider Identifier
1780857409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- PREMIER RADIATION ONCOLOGY OF NASSAU, PC
- Practice address
- 415 Northern Blvd
Great Neck, NY 11021-4812 - Phone
- (201) 684-1633
- NPI assigned
- Apr 3, 2008
- 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
- David Greenblatt, M.D.
- Title
- Director
- Phone
- (201) 684-1633
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
415 Northern Blvd
Great Neck, NY 11021-4812
Mailing address
1 Lethbridge PLZ
Suite 20
Mahwah, NJ 07430-2126
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Ridgewood, NJ
- NPI 1063465490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207180800000",
"number": "1780857409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LETHBRIDGE PLZ",
"address_2": "SUITE 20",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074302126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214812",
"telephone_number": "201-684-1633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER RADIATION ONCOLOGY OF NASSAU, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-03",
"last_updated": "2008-04-03",
"status": "A",
"authorized_official_last_name": "GREENBLATT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "201-684-1633",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
- Roberta C Pravder, M.S. ED.
- Precision Medicine Insights PC
- Precision Pharmacy Inc of Great Neck
- Precision Pharmacy Inc of Great Neck
- Prehealthcare Management Associates Inc.
- Prestige Medical Diagnostics, P.C.
- Cheryl J Preston, OTR/L
- Mary Jane M Preston, PT, MS
- Lenore Geralyn Primiano, RN
- Robert Prince, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.