Active NPI
Cancer Professionals of Greater Washington, PLLC
- Hematology & Oncology Physician
- Rockville, MD
National Provider Identifier
1922344985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- D0074563
- Legal business name
- CANCER PROFESSIONALS OF GREATER WASHINGTON, PLLC
- Practice address
- 15225 Shady Grove Rd
Suite 210
Rockville, MD 20850-3254 - Phone
- (240) 477-6620
- Fax
- (240) 477-6495
- NPI assigned
- Dec 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond I Cruz, MD
- Title
- Vice-President
- Phone
- (240) 477-6620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | D0074563 | MD | Primary |
Addresses
Primary practice location
15225 Shady Grove Rd
Suite 210
Rockville, MD 20850-3254
Mailing address
15225 Shady Grove Rd
Suite 210
Rockville, MD 20850-3254
Phone (240) 477-6620
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355875200000",
"number": "1922344985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15225 SHADY GROVE RD",
"address_2": "SUITE 210",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503254",
"telephone_number": "240-477-6620",
"fax_number": "240-477-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15225 SHADY GROVE RD",
"address_2": "SUITE 210",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503254",
"telephone_number": "240-477-6620",
"fax_number": "240-477-6495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANCER PROFESSIONALS OF GREATER WASHINGTON, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-19",
"last_updated": "2012-12-19",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "240-477-6620",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MD",
"license": "D0074563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.