21ST CENTURY ONCOLOGY OF NEW JERSEY, INC. (NPI# 1578543930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578543930 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY ONCOLOGY OF NEW JERSEY, INC. |
| Practice Address |
130 Carnie Blvd Suite 1 Voorhees NJ 08043-4521 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 8564240003 |
| Practice Fax Number | 8564240055 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-09-15 |
| Authorized Official Name | DANIEL E. DOSORETZ (PRESIDENT) |
| Authorized Official Telephone | 2399317275 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0047627 | 05 |
| Street Address |
130 CARNIE BLVD SUITE 1 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626830 | Robert Minor | Surgery | 130 Carnie Blvd, Suite 4, Voorhees, NJ 08043-4521 | 2005-08-12 |
| 1952468233 | Paul Elliot Wallner | Radiology | 130 Carnie Blvd, Suite 1, Voorhees, NJ 08043-4521 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952468233 | Paul Elliot Wallner | Radiology | 130 Carnie Blvd, Suite 1, Voorhees, NJ 08043-4521 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856423 | Lourdes Medical Associates, Pa | Radiology | 220 Sunset Rd Ste 4, Willingboro, NJ 08046-1126 | 2017-08-09 |
| 1851788772 | Byung Han Rhieu | Radiology | 33 Overlook Rd Ste L05, Summit, NJ 07901-3561 | 2015-04-17 |
| 1801206776 | Gary Eastwick | Radiology | Two Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103 | 2014-05-01 |
| 1568882900 | Matthew Listo | Radiology | 900 Route 70 # 1a, Lakewood, NJ 08701-5940 | 2014-04-24 |
| 1558641126 | Princeton Procure Management, LLC | Radiology | 103 Cedar Grove Ln, Somerset, NJ 08873-4717 | 2011-08-26 |
| 1902104573 | Jersey City Radiation Therapy LLC | Radiology | 631 Grand Street, Suite 1-1, Jersey City, NJ 07304 | 2011-03-07 |
| 1972807824 | Hackensack Radiation Therapy LLC | Radiology | 20 Woodridge Ave, Hackensack, NJ 07601-6013 | 2011-01-07 |
| 1477865426 | Megan A. Mezera | Radiology | Two Cooper Plaza 400 Haddon Ave, Camden, NJ 08103 | 2010-07-07 |
| 1609008333 | Alina Hirsh | Radiology | 2090 Springdale Road, Suite B, Cherry Hill, NJ 08003 | 2009-08-13 |
| 1225278518 | Susan M Weissman | Radiology | 22 Stratford Dr, Livingston, NJ 07039-5140 | 2009-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.