Organization Active NPI

Atlantic Hematology Oncology Group

  • Hematology & Oncology Physician
  • Galloway, NJ
National Provider Identifier
1851420707
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA05242500 Issued in NJ
Legal business name
ATLANTIC HEMATOLOGY ONCOLOGY GROUP
Practice address
4 E Jimmie Leeds Rd
Suite 4
Galloway, NJ 08205-4465
Phone
(609) 652-6750
Fax
(609) 652-2306
NPI assigned
Mar 5, 2007
Last updated
Feb 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Mal Hollander
Title
Practice Administrator
Phone
(609) 652-6750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA05242500 NJ Primary

Addresses

Primary practice location

4 E Jimmie Leeds Rd
Suite 4
Galloway, NJ 08205-4465

Mailing address

4 E Jimmie Leeds Rd
Suite 4
Galloway, NJ 08205-4465
Phone (609) 652-6750

Other identifiers 6

IdentifierTypeStateIssuer
000428946OtherNJHIGHMARK
3403408MedicaidNJ
0017190OtherNJAETNA
1045671OtherNJHORIZON NJ HEALTH
5003495OtherNJCAPITAL BCBS
P1969353OtherNJOXFORD

National Provider Directory

National Provider Directory

Locations

4 E Jimmie Leeds Rd
Ste 4
Galloway, NJ 08205
Phone (609) 465-7906

6508 Ventnor Ave
Ste B
Ventnor City, NJ 08406
Phone (609) 652-6750

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1851420707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E JIMMIE LEEDS RD",
            "address_2": "SUITE 4",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054465",
            "telephone_number": "609-652-6750",
            "fax_number": "609-652-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E JIMMIE LEEDS RD",
            "address_2": "SUITE 4",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054465",
            "telephone_number": "609-652-6750",
            "fax_number": "609-652-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEMATOLOGY ONCOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "MAL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "609-652-6750"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA05242500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000428946",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403408",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0017190",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1045671",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BCBS",
            "identifier": "5003495",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1969353",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.