Organization Active NPI

Community Cancer Care of Bayonne

  • Specialist
  • Bayonne, NJ
National Provider Identifier
1881990596
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA02830300 Issued in NJ
Legal business name
COMMUNITY CANCER CARE OF BAYONNE
Practice address
564 Broadway
Suite 102
Bayonne, NJ 07002-8828
Phone
(201) 443-4080
NPI assigned
Jan 28, 2011
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Mrs. Evelynda Cano
Title
Executive Secretary
Phone
(201) 443-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA02830300 NJ Primary

Addresses

Primary practice location

564 Broadway
Suite 102
Bayonne, NJ 07002-8828

Mailing address

PO Box 3395
Bayonne, NJ 07002-0287
Phone (201) 443-4080

Other names 1

  • Community Cancer Care of Bayonne Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1881990596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3395",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070020287",
            "telephone_number": "201-443-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 BROADWAY",
            "address_2": "SUITE 102",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070028828",
            "telephone_number": "201-443-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CANCER CARE OF BAYONNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "CANO",
        "authorized_official_first_name": "EVELYNDA",
        "authorized_official_title_or_position": "EXECUTIVE SECRETARY",
        "authorized_official_telephone_number": "201-443-4080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA02830300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Cancer Care of Bayonne",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.