Trinitas Radiation Oncology Assoc, PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

25MB06193300 Issued in NJ

Legal business name

TRINITAS RADIATION ONCOLOGY ASSOC, PA

Practice address

225 Williamson St
Radiation Oncology Dept.
Elizabeth, NJ 07202-3625

Phone

(908) 994-8393

Fax

(908) 994-8725

NPI assigned

Aug 1, 2007

Last updated

Aug 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert A Ivker, DONPI 1922133057

Title

Radiation Oncologist

Phone

(908) 994-8393

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Robert A Ivker, DO

  • Radiation Oncology Physician
  • West Orange, NJ
  • NPI 1922133057
  NPD (past) Authorized official

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1952592214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070410659",
            "telephone_number": "973-322-4212",
            "fax_number": "973-322-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILLIAMSON ST",
            "address_2": "RADIATION ONCOLOGY DEPT.",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023625",
            "telephone_number": "908-994-8393",
            "fax_number": "908-994-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITAS RADIATION ONCOLOGY ASSOC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "IVKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RADIATION ONCOLOGIST",
        "authorized_official_telephone_number": "908-994-8393",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MB06193300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6676308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinitas Hospital
• Trinitas Hospital
• Trinitas Hospital
• Trinitas Hospital
• Trinitas Physicians Practice, LLC
• Trinitas Regional Medical Center
• Trinitas Regional Medical Center
• Trinitas Regional Medical Center (Trinitas Hospital HIV Clinic)
• Trinitas Regional Medical Center
• Trinitas Regional Medical Center (Trinitas Hospital-Intermediate DDD)

• Radiation Oncology Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Radiation Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.