Organization Active NPI

Urology Specialty Care PA

  • Radiation Oncology Physician
  • Jersey City, NJ
National Provider Identifier
1871885814
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
UROLOGY SPECIALTY CARE PA
Practice address
631 Grand Street
Suite 1-1
Jersey City, NJ 07304-3417
Phone
(201) 880-7580
Fax
(201) 880-7585
NPI assigned
May 10, 2011
Organization subpart
Yes
Parent organization
JERSEY CITY RADIATION THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Donald Vardaro
Title
Administrative Director
Phone
(201) 880-7580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

631 Grand Street
Suite 1-1
Jersey City, NJ 07304-3417

Mailing address

631 Grand Street
Suite 1-1
Jersey City, NJ 07304
Phone (201) 880-7580

National Provider Directory

National Provider Directory
Part of
Urology Specialty Care

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1871885814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 GRAND STREET",
            "address_2": "SUITE 1-1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07304",
            "telephone_number": "201-880-7580",
            "fax_number": "201-880-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 GRAND STREET",
            "address_2": "SUITE 1-1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043417",
            "telephone_number": "201-880-7580",
            "fax_number": "201-880-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SPECIALTY CARE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JERSEY  CITY RADIATION THERAPY LLC",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "VARDARO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "201-880-7580"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

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