South Jersey Radiation Oncology P.C.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

SOUTH JERSEY RADIATION ONCOLOGY P.C.

Practice address

1505 W Sherman Ave
Vineland, NJ 08360-6912

Phone

(856) 641-7920

Fax

(856) 641-7915

NPI assigned

Jul 26, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph William Fanelle, MDNPI 1578563334

Title

President

Phone

(856) 641-7926

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Joseph William Fanelle, MD

  • Radiation Oncology Physician
  • Vineland, NJ
  • NPI 1578563334
  Authorized official Same address or phone

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871593426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606912",
            "telephone_number": "856-641-7920",
            "fax_number": "856-641-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606912",
            "telephone_number": "856-641-7920",
            "fax_number": "856-641-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY RADIATION ONCOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FANELLE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-641-7926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8214808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Jersey Gastroenterology Consultants PA
• South Jersey Healthcare Life, Inc.
• South Jersey Healthcare Occupational Health Services
• South Jersey Hyperbaric Medicine LLC
• South Jersey Pediatric Dental, LLC
• South Jersey Surgicenter, Inc
• South Jersey Urgicare LLC (Vineland Urgent Care)
• South Jersey Urology Consultants LLC
• South Main Medical Associates, LLC
• Southern Oncology Hematology Assoc

• Radiation Oncology Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Radiation Oncology Physician in New Jersey

• 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.