Active NPI
Radiation Oncology Medical Practice of St. Vincents, PC
- Radiation Oncology Clinic/Center
- New York, NY
National Provider Identifier
1942357561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Clinic/Center
- License
- 183609
- Legal business name
- RADIATION ONCOLOGY MEDICAL PRACTICE OF ST. VINCENTS, PC
- Practice address
- 325 W 15TH St
New York, NY 10011-5903 - Phone
- (212) 604-6081
- Fax
- (212) 367-1742
- NPI assigned
- Jan 4, 2007
- 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
- Ms. Yvette Ortiz
- Title
- Administrative Assistant
- Phone
- (212) 604-6081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Clinic/Center | 261QX0203X | 183609 | NY | Primary |
Addresses
Primary practice location
325 W 15TH St
New York, NY 10011-5903
Mailing address
325 W 15TH St
New York, NY 10011-5903
Phone (212) 604-6081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01299072 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942357561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W 15TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115903",
"telephone_number": "212-604-6081",
"fax_number": "212-367-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W 15TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115903",
"telephone_number": "212-604-6081",
"fax_number": "212-367-1742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIATION ONCOLOGY MEDICAL PRACTICE OF ST. VINCENTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "YVETTE",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "212-604-6081",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QX0203X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology, Radiation",
"state": "NY",
"license": "183609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01299072",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
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.