NPIMap

Organization Active NPI

Bayonne Radiation Oncology Associates, LLC

  • Radiation Oncology Physician
  • Mahwah, NJ
National Provider Identifier
1902858020
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
BAYONNE RADIATION ONCOLOGY ASSOCIATES, LLC
Practice address
1 Lethbridge PLZ
Route 17 North, Suite #20
Mahwah, NJ 07430-2126
Phone
(201) 684-1616
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Wesson, M.D.
Title
Director
Phone
(201) 684-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

1 Lethbridge PLZ
Route 17 North, Suite #20
Mahwah, NJ 07430-2126

Mailing address

27 E 29TH St
Bayonne, NJ 07002-4654

National Provider Directory

National Provider Directory

Locations

1 Lethbridge Plz
Ste 2
Mahwah, NJ 07430

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902858020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LETHBRIDGE PLZ",
            "address_2": "ROUTE 17 NORTH, SUITE #20",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302126",
            "telephone_number": "201-684-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONNE RADIATION ONCOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-684-1616",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.