Jersey City Radiation Therapy LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

0400329589 Issued in NJ

Legal business name

JERSEY CITY RADIATION THERAPY LLC

Practice address

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

Phone

(201) 791-4544

Fax

(201) 794-6970

NPI assigned

Mar 7, 2011

Organization subpart

No

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) 791-4544

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Urology Specialty Care PA

  • Radiation Oncology Physician
  • Jersey City, NJ
  • NPI 1871885814
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Chaitowitz, MD

  • Hematology & Oncology Physician
  • Bronx, NY
  • NPI 1922215680
  NPD (past)

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1902104573",
    "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": "201-791-4544",
            "fax_number": "201-794-6970"
        },
        {
            "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": "07304",
            "telephone_number": "201-791-4544",
            "fax_number": "201-794-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CITY RADIATION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "VARDARO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "201-791-4544"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "0400329589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey City Pediatric Dentistry, LLC
• Jersey City Pediatrics
• Jersey City Physical Therapy
• Jersey City PT LLC
• Jersey City Public Schools
• Jersey City Rehabilitation Clinic
• Jersey City Vision Express LLC
• Jersey City Wellness Center, LLC
• Jersey Dental Arts PA
• Jersey Elite Anesthesia Group, LLC

• Radiation Oncology Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Radiation Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.