Cancer Survivorship Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CANCER SURVIVORSHIP MEDICAL PC

Practice address

1 Broadway Ste 14
Cambridge, MA 02142-1187

Phone

(917) 819-6922

Fax

(888) 265-4719

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Ravi Jaimini Patel, D.O.

Title

President

Phone

(917) 819-6922

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1851077473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROADWAY STE 14",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421187",
            "telephone_number": "917-819-6922",
            "fax_number": "888-265-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROADWAY STE 14",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421187",
            "telephone_number": "917-819-6922",
            "fax_number": "888-265-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER SURVIVORSHIP MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "JAIMINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-819-6922",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conor Ross Campbell, D.C.
• Jeffrey S Campbell, R.PH.
• Robert J Campbell, M.D.
• Clairalice Campini, PHD
• Stephen Lewis Campo, MD
• Kaitlin Candido
• Nestor Canenguez Soto, DPT
• Aislyn Cangialose, N.P.
• Elissa Marie Cannata
• Lorie Marie Canney, LPN

• Internal Medicine Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.