Active NPI
Community Cancer Care of Bayonne
- Specialist
- Bayonne, NJ
National Provider Identifier
1881990596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA02830300
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Steven Corey Cohen, DMD
- Henry Harris Cohn, DDS
- Morgan Reinelle Coiro, OD
- Colanta Hematology & Oncology Ctr Inc
- Jasmine Colon
- Community Cancer Centers of America LLC
- Community Psychotherapy Associates, Inc.
- Compass Medical Healthcare Associates PC
- Complete Home Aide Services
- Comprehensive Cancer Care LLC
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.