Organization Active NPI

Associates in Hematology-Oncology, P.C.

  • Hematology & Oncology Physician
  • Upland, PA
National Provider Identifier
1891771044
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ASSOCIATES IN HEMATOLOGY-ONCOLOGY, P.C.
Practice address
1 Medical Center Blvd
Ste 341 Crozer Regional Cancer Center
Upland, PA 19013-3902
Phone
(610) 619-7420
Fax
(610) 876-6923
NPI assigned
Dec 20, 2005
Last updated
Jul 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Raymond J Vivacqua, M.D.NPI 1821089350
Title
President
Phone
(610) 619-7420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1 Medical Center Blvd
Ste 341 Crozer Regional Cancer Center
Upland, PA 19013-3902

Mailing address

1 Medical Center Blvd
Ste 341 Crozer Regional Cancer Center
Upland, PA 19013-3902
Phone (610) 619-7420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622000514 PA Part B Supplier - Clinic/Group Practice 3678472198 Receives reassigned benefits from 6 practitioners
Practice locations: Coatesville, PA; Glen Mills, PA; Ridley Park, PA; Springfield, PA; Upland, PA; West Grove, PA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

701 N Clayton St
#502
Wilmington, DE 19805

1 Medical Center Blvd
#341
Chester, PA 19013
Phone (610) 619-7430

1 Medical Center Blvd
Ste 341
Chester, PA 19013
Phone (610) 619-7420

201 Reeceville Rd
Ste 37
Coatesville, PA 19320

300 Evergreen Dr
Ste 141
Glen Mills, PA 19342

500 Evergreen Dr
Ste 141
Glen Mills, PA 19342

1 Bartol Ave
Ste 103
Ridley Park, PA 19078
Phone (610) 521-3022

196 W Sproul Rd
Ste 106
Springfield, PA 19064
Phone (610) 328-0367

1011 W Baltimore Pike
Ste 105A
West Grove, PA 19390

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1891771044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "STE 341 CROZER REGIONAL CANCER CENTER",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-619-7420",
            "fax_number": "610-876-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "STE 341 CROZER REGIONAL CANCER CENTER",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-619-7420",
            "fax_number": "610-876-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN HEMATOLOGY-ONCOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "VIVACQUA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-619-7420",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.