University Cancer Institute LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME80006 Issued in FL

Legal business name

UNIVERSITY CANCER INSTITUTE LLC

Practice address

2240 W Woolbright Road
Suite 415
Boynton Beach, FL 33426-6367

Phone

(561) 737-6556

Fax

(561) 737-2662

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas MJ Niederman, M.D.NPI 1992762868

Title

Managing Member

Phone

(561) 737-6556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Thomas MJ Niederman, MD,PHD

  • Specialist
  • Boynton Beach, FL
  • NPI 1992762868
  Medicare reassignment NPD Authorized official
• Berthine Joseph

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1043550767
  Medicare reassignment NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1821028606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W WOOLBRIGHT ROAD",
            "address_2": "SUITE 415",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266367",
            "telephone_number": "561-737-6556",
            "fax_number": "561-737-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W WOOLBRIGHT ROAD",
            "address_2": "SUITE 415",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266367",
            "telephone_number": "561-737-6556",
            "fax_number": "561-737-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CANCER INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "NIEDERMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MJ",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-737-6556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME80006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne-Marie Ushunu Umoren
• Inemesit Essien Umoren, M.D.
• Unique Adult Family Care Home Inc.
• Unity N Diversity Psychotherapy, LLC
• Universal Kidney Center of Boynton Beach Inc
• University Internal Medicine of Palm Beach LLC
• Otto R Urbay, FNP-C
• Jose R Urena Jr., DPT
• Urology Center of South Florida PA
• Urology Group of Florida LLC

• Specialist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.