Hackensack Radiation Therapy LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

0400320983 Issued in NJ

Legal business name

HACKENSACK RADIATION THERAPY LLC

Practice address

20 Woodridge Ave
Hackensack, NJ 07601-6013

Phone

(201) 880-7580

Fax

(201) 880-7585

NPI assigned

Jan 7, 2011

Last updated

May 6, 2011By 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

Donald Vardaro

Title

Administrative Director

Phone

(201) 880-7580

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Urology Specialty Care PA

  • Radiation Oncology Physician
  • Hackensack, NJ
  • NPI 1326330366
  NPPES parent name

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.

• Andranik Howhannesian

  • Urology Physician
  • Fair Lawn, NJ
  • NPI 1174591762
  NPD (past)

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1972807824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WOODRIDGE AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "074106013",
            "telephone_number": "201-880-7580",
            "fax_number": "201-880-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WOODRIDGE AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016013",
            "telephone_number": "201-880-7580",
            "fax_number": "201-880-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK RADIATION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "VARDARO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "201-880-7580"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "0400320983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256277",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hackensack Physical Therapy, Inc.
• Hackensack Physicians Group LLC
• Hackensack Primary Care PA (North Jersey Urgent Care)
• Hackensack Psychiatric Group LLC
• Hackensack Quality Foot Care, P.a.
• Hackensack Radiology Center LLC (Affinity Radiology)
• Hackensack Radiology Group PA
• Hackensack Rehab Inc
• Hackensack Rheumatology LLC
• Hackensack Sleep & Pulmonary Center LLC

• Radiation Oncology Physician in Hackensack, NJ
• Providers in Hackensack, 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 May 6, 2011; 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.