21St Century Oncology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

21ST CENTURY ONCOLOGY LLC

Doing business as

Advanced Urology & Robotic Surgery

Practice address

733 4TH Ave N
Naples, FL 34102-5731

Phone

(239) 436-5520

Fax

(239) 436-6397

NPI assigned

Jul 15, 2009

Last updated

Feb 2, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

RADIATION THERAPY SERVICES INCAs reported in NPPES

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

Authorized official

Name

Daniel E Dosoretz, MD

Title

Ceo/President

Phone

(239) 931-7277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Urology & Robotic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Niraj H Mehta, M.D.

  • Radiation Oncology Physician
  • Pembroke Pines, FL
  • NPI 1598919243
  NPD
• Jerome J. Spunberg, M.D.

  • Radiation Oncology Physician
  • Palm Beach Gardens, FL
  • NPI 1902803356
  NPD

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1821228685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7212",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 4TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025731",
            "telephone_number": "239-436-5520",
            "fax_number": "239-436-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY ONCOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIATION THERAPY SERVICES INC",
        "enumeration_date": "2009-07-15",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "DOSORETZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "239-931-7277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE7138",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Urology & Robotic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.

Verify at the official NPI Registry.