Organization Active NPI

Cancer Surgery Associates,LLC

  • Exclusive Provider Organization
  • Hackensack, NJ
National Provider Identifier
1962696773
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
MA67928 Issued in NJ
Legal business name
CANCER SURGERY ASSOCIATES,LLC
Practice address
20 Prospect Ave
Suite 603
Hackensack, NJ 07601-1997
Phone
(201) 342-1010
Fax
(201) 342-1030
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Donald A. McCain, M.DNPI 1295801157
Title
Ceo
Phone
(201) 342-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X MA67928 NJ Primary

Addresses

Primary practice location

20 Prospect Ave
Suite 603
Hackensack, NJ 07601-1997

Mailing address

20 Prospect Ave
Suite 603
Hackensack, NJ 07601-1997
Phone (201) 342-1010

Other identifiers 1

IdentifierTypeStateIssuer
7840705MedicaidNJ

Other names 1

  • Donald A. McCain, M.D. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070929000065 NJ Part B Supplier - Clinic/Group Practice 8325133796 Receives reassigned benefits from 1 practitioner
Practice locations: Hackensack, NJ

National Provider Directory

National Provider Directory

Locations

20 Prospect Ave
Ste 603
Hackensack, NJ 07601
Phone (201) 342-1010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBIGCA

Practitioners & affiliated clinicians

Practitioners 3

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": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1962696773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 603",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-342-1010",
            "fax_number": "201-342-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 603",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-342-1010",
            "fax_number": "201-342-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER SURGERY ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MCCAIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-342-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "MA67928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7840705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald A. McCain, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.