Organization Active NPI

Medical Oncology & Hematology PC

  • Clinical Medical Laboratory
  • Waterbury, CT
National Provider Identifier
1922192079
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CL0599 Issued in CT
Legal business name
MEDICAL ONCOLOGY & HEMATOLOGY PC
Practice address
1075 Chase Parkway
Waterbury, CT 06708
Phone
(203) 755-6311
Fax
(203) 755-6263
NPI assigned
Oct 3, 2006
Organization subpart
Yes
Parent organization
MEDICAL ONCOLOGY & HEMATOLOGY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Ms. Cynthia A Waranowicz
Title
Ceo
Phone
(203) 589-7504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CL0599 CT Primary

Addresses

Primary practice location

1075 Chase Parkway
Waterbury, CT 06708

Mailing address

19 Lunar Drive
Medical Oncology & Hematology PC
Woodbridge, CT 06525
Phone (203) 389-7504

Other identifiers 4

IdentifierTypeStateIssuer
G7D0664949OtherCTCLIA
CL0599OtherCTDPH
G7D0664949OtherCTCMS
CL0599OtherCTLICENSE

Other names 1

  • Diagnostic Hematology Lab Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0899809Saint Mary'S Hospital Oncology Center1075 Chase Pkwy, Ste a, Waterbury, CT 06708ComplianceOct 24, 2027

National Provider Directory

National Provider Directory
Part of
Medical Hematology on

Locations

669 Boston Post Rd
Ste 2
Guilford, CT 06437
Phone (203) 453-9192

455 Lewis Ave
#102
Meriden, CT 06451
Phone (203) 238-7747

1450 Chapel St
#A
New Haven, CT 06511
Phone (203) 867-5420

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1922192079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LUNAR DRIVE",
            "address_2": "MEDICAL ONCOLOGY & HEMATOLOGY PC",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "06525",
            "telephone_number": "203-389-7504",
            "fax_number": "203-389-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CHASE PARKWAY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-755-6311",
            "fax_number": "203-755-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ONCOLOGY & HEMATOLOGY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ONCOLOGY & HEMATOLOGY PC",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "WARANOWICZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-589-7504",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "CL0599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "G7D0664949",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPH",
            "identifier": "CL0599",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "G7D0664949",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CL0599",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Hematology Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.