NPIMap

Organization Active NPI

Elissa J Santoro MD PA

Doing business as Breast Care & Treatment Center

  • Surgical Oncology Physician
  • Livingston, NJ
National Provider Identifier
1932288453
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
25MA02235700 Issued in NJ
Legal business name
ELISSA J SANTORO MD PA
Doing business as
Breast Care & Treatment Center
Practice address
200 South Orange Avenue
Suite 112
Livingston, NJ 07039-5817
Phone
(973) 533-0222
Fax
(973) 535-1121
NPI assigned
Nov 3, 2006
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Elissa Jeanne Santoro, MDNPI 1528023405
Title
President
Phone
(973) 533-0222

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)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086X0206X 25MA02235700 NJ Primary

Addresses

Primary practice location

200 South Orange Avenue
Suite 112
Livingston, NJ 07039-5817

Mailing address

200 South Orange Avenue
Suite 112
Livingston, NJ 07039-5817
Phone (973) 533-0222

Other identifiers 2

IdentifierTypeStateIssuer
1427014182OtherNPI CMS
1528023405OtherNPI CMS

Other names 1

  • Breast Care & Treatment Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1932288453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH ORANGE AVENUE",
            "address_2": "SUITE 112",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-533-0222",
            "fax_number": "973-535-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH ORANGE AVENUE",
            "address_2": "SUITE 112",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-533-0222",
            "fax_number": "973-535-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISSA J SANTORO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-533-0222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "NJ",
            "license": "25MA02235700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CMS",
            "identifier": "1427014182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CMS",
            "identifier": "1528023405",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breast Care & Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.