Organization Active NPI

Cathedral Blood Research Institute PA

  • Hematology & Oncology Physician
  • Newark, NJ
National Provider Identifier
1861676348
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CATHEDRAL BLOOD RESEARCH INSTITUTE PA
Practice address
268 Dr. Martin Luther King Boulevard
Newark, NJ 07102-2094
Phone
(973) 877-5527
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Frances Flug, MD
Title
Managing Physician
Phone
(973) 877-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X NJ Primary

Addresses

Primary practice location

268 Dr. Martin Luther King Boulevard
Newark, NJ 07102-2094

Mailing address

66 W Gilbert St
2ND Floor
Red Bank, NJ 07701-4819
Phone (732) 212-0051

Other identifiers 5

IdentifierTypeStateIssuer
1035205OtherNJHORIZON NJ HEALTH
22059OtherNJUHP
6035400MedicaidNJ
SU00330OtherNJOXFORD
CA6153OtherNJRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861676348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "address_2": "2ND FLOOR",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077014819",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 DR. MARTIN LUTHER KING BOULEVARD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022094",
            "telephone_number": "973-877-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHEDRAL BLOOD RESEARCH INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FLUG",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "973-877-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1035205",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHP",
            "identifier": "22059",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6035400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "SU00330",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA6153",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.