Organization Active NPI

Cyber Radiation Oncology SRS LLC

  • Radiation Oncology Physician
  • Pomona, NJ
National Provider Identifier
1982858502
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
1420614 Issued in NJ
Legal business name
CYBER RADIATION ONCOLOGY SRS LLC
Practice address
Jimmie Leeds Rd
Pomona, NJ 08240-9100
Phone
(609) 652-3417
Fax
(609) 487-0437
NPI assigned
Nov 10, 2008
Last updated
Jan 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Jorge Cassir, MD
Title
Administrator
Phone
(609) 652-3417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 1420614 NJ Primary

Addresses

Primary practice location

Jimmie Leeds Rd
Pomona, NJ 08240-9100

Mailing address

7905 Bayshore Dr
Margate City, NJ 08402-1805
Phone (609) 652-3417

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1982858502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 BAYSHORE DR",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084021805",
            "telephone_number": "609-652-3417",
            "fax_number": "609-487-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JIMMIE LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409100",
            "telephone_number": "609-652-3417",
            "fax_number": "609-487-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYBER RADIATION ONCOLOGY SRS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "CASSIR",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-652-3417",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "1420614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.