Active NPI
South Nassau Oncology, PC
- Radiation Oncology Physician
- Oceanside, NY
National Provider Identifier
1902109713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- SOUTH NASSAU ONCOLOGY, PC
- Practice address
- 1 Healthy Way
Oceanside, NY 11572-1551 - Phone
- (516) 632-3303
- Fax
- (516) 632-3325
- NPI assigned
- Dec 16, 2010
- Last updated
- Dec 16, 2010
- Organization subpart
- Yes
- Parent organization
- SOUTH SHORE RADIATION ONCOLOGY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Mullen, MD
- Title
- President
- Phone
- (516) 632-3303
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NY | Primary |
Addresses
Primary practice location
1 Healthy Way
Oceanside, NY 11572-1551
Mailing address
1115 Main St
Pleasant View, TN 37146-8136
Phone (866) 353-0360
National Provider Directory
National Provider Directory- Part of
- Long Island Surgery Center
Locations
1115 Main St
Pleasant View, TN 37146
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Radiation Oncology Physician
- Oceanside, NY
- NPI 1104824606
-
- Medical Oncology Physician
- Port Arthur, TX
- NPI 1861433542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292457600000",
"number": "1902109713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 MAIN ST",
"city": "PLEASANT VIEW",
"state": "TN",
"postal_code": "371468136",
"telephone_number": "866-353-0360",
"fax_number": "615-523-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HEALTHY WAY",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721551",
"telephone_number": "516-632-3303",
"fax_number": "516-632-3325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH NASSAU ONCOLOGY, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTH SHORE RADIATION ONCOLOGY",
"enumeration_date": "2010-12-16",
"last_updated": "2010-12-16",
"status": "A",
"authorized_official_last_name": "MULLEN",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-632-3303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
- South Nassau Communities Hospital
- South Nassau Communities Hospital-Surgical Oncology
- South Nassau Dermatology P.C.
- South Nassau Family Medicine PC
- South Nassau Neonatal Services, PC
- South Nassau Physician Group PC
- South Nassau Radiology PC
- South Nassau Walk-in Medical Care, P.C. (Dwell Family Doctors)
- South Shore Nuclear Diagnostics@Nassau
- South Shore Radiation Oncology Associates P C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.