The Harold Leever Regional Cancer Center Inc

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

0377 Issued in CT

Legal business name

THE HAROLD LEEVER REGIONAL CANCER CENTER INC

Practice address

1075 Chase Pkwy
Waterbury, CT 06708-2948

Phone

(203) 575-5555

Fax

(203) 575-5562

NPI assigned

Jul 6, 2006

Last updated

Sep 20, 2012By 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

Thomas Belzek

Title

Finance Director

Phone

(203) 575-5563

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• The Harold Leever Regional Cancer Center Inc

  • Radiation Oncology Physician
  • Waterbury, CT
  • NPI 1235145194

  5294786299

  Same PAC ID

Tax ID family

Harold Leever Cancer Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Harold Leever Regional Cancer Center Inc

  • Radiation Oncology Physician
  • Waterbury, CT
  • NPI 1235145194
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Prospect Waterbury, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1477902641

  Member Of

  NPD member

Locations

Practitioners 6

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.

• Andrew J Lawson, MD

  • Diagnostic Radiology Physician
  • Waterbury, CT
  • NPI 1861459125
  NPD
• Michael Malin, MD

  • Diagnostic Radiology Physician
  • Southbury, CT
  • NPI 1275565640
  NPD
• Marco Verga, MD

  • Diagnostic Radiology Physician
  • Waterbury, CT
  • NPI 1689631947
  NPD
• Douglas Michael Housman, M.D.

  • Radiation Oncology Physician
  • Bristol, CT
  • NPI 1760640643
  NPD (past)
• Joseph Ravalese, MD

  • Radiation Oncology Physician
  • Bristol, CT
  • NPI 1376505081
  NPD (past)
• Meriem Mokhtech, MD

  • Radiation Oncology Physician
  • Orlando, FL
  • NPI 1245721646
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1891727657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082948",
            "telephone_number": "203-575-5555",
            "fax_number": "203-575-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082948",
            "telephone_number": "203-575-5555",
            "fax_number": "203-575-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAROLD LEEVER REGIONAL CANCER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "BELZEK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "203-575-5563"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "CT",
            "license": "0377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4239712",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2685544",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "68RDONC02CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Awareness Center LLC
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• The Eye Care Group, P.C.
• The Fiercest Mind LLC
• The Harold Leever Regional Cancer Center Inc
• The Phonzy Center
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #679)
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #675)
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #618)
• The Village at East Farms

• Radiation Oncology Clinic/Center in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Radiation Oncology Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.