Hematology-Oncology Associates of North Jersey LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

HEMATOLOGY-ONCOLOGY ASSOCIATES OF NORTH JERSEY LLC

Doing business as

Dr. Mohtaseb's Cancer Center And Blood Disorders

Practice address

3003 Highway 95 Ste G73
Bullhead City, AZ 86442-7860

Phone

(928) 219-4560

Fax

(928) 219-4561

NPI assigned

Apr 2, 2008

Last updated

Dec 20, 2024By 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

Dr. Hamdy A Mohtaseb, MD, FACPNPI 1164423257

Title

President/Member

Phone

(928) 219-4560

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Dr. Mohtaseb's Cancer Center And Blood Disorders Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ, NV3 enrollments

Enrollment records 3

Locations

Practitioners 8

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.

• Hamdy A Mohtaseb, MD, FACP

  • Hematology & Oncology Physician
  • Bullhead City, AZ
  • NPI 1164423257

  NV

  Medicare reassignment Care Compare group NPD Authorized official
• Clifford J Bragg, NP

  • Nurse Practitioner
  • Fort Mohave, AZ
  • NPI 1912486523
  Medicare reassignment Care Compare group NPD
• Margot D Henderson, P.A.-C.

  • Medical Physician Assistant
  • Kingman, AZ
  • NPI 1023092822
  Medicare reassignment Care Compare group
• April Roemer, APRN

  • Nurse Practitioner
  • Lake Worth, FL
  • NPI 1487312393

  NV

  Medicare reassignment Care Compare group
• Chen I Huang, M.D.

  • Medical Oncology Physician
  • Harrison, AR
  • NPI 1184720807

  AZ, Hematology & Oncology

  Medicare reassignment NPD
• Rachel Michelle Pink, APRN

  • Family Nurse Practitioner
  • Reno, NV
  • NPI 1942940275
  Medicare reassignment NPD
• Jennie Lynn Dugo, NP-C

  • Family Nurse Practitioner
  • Kingman, AZ
  • NPI 1871979658
  NPD
• Robigen Enrique Dower

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1134909880
  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1972776672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HIGHWAY 95 STE G73",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427860",
            "telephone_number": "928-219-4560",
            "fax_number": "928-219-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HIGHWAY 95 STE G73",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427860",
            "telephone_number": "928-219-4560",
            "fax_number": "928-219-4561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Hancock Rd Ste 204&205",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864425948",
            "country_code": "US",
            "telephone_number": "928-219-4560",
            "fax_number": "928-219-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8905 S Pecos Rd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890747147",
            "country_code": "US",
            "telephone_number": "702-361-3030",
            "fax_number": "702-361-3031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEMATOLOGY-ONCOLOGY ASSOCIATES OF NORTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "MOHTASEB",
        "authorized_official_first_name": "HAMDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "928-219-4560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "6441700001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6670901",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIF",
            "identifier": "044000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "MA61425",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Mohtaseb's Cancer Center And Blood Disorders",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Mohtaseb's Cancer Center And Blood Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Lawrence Hayes, AZ HIS #4659
• Melinda M Hayes, MD
• Erin Mary Healey, FNP-BC
• Heart Care Center PC
• Hematology Oncology Associates of North Jersey, LLC
• Maria Hernandez
• Hidrk Health Care PC (Western Arizona Family Practice)
• Jackie Ho, PHARMD
• Kara June Holden, D.C.
• Ann Holland, R.PH.

• Hematology & Oncology Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.