EAST COAST RADIATION ONCOLOGY ASSOCIATES NEWARK BETH ISRAEL, PA (NPI# 1578698601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578698601 |
| Entity Type | Organization |
| Organization Name | EAST COAST RADIATION ONCOLOGY ASSOCIATES NEWARK BETH ISRAEL, PA |
| Practice Address |
201 Lyons Ave Dept of Radiation Oncology - E2 Newark NJ 07112-2027 |
| Practice Telephone | 9733224212 |
| Practice Fax Number | 9733224132 |
| Mailing Telephone | 9733224212 |
| Mailing Fax Number | 9733224132 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-05-29 |
| Authorized Official Name | ROBERT A IVKER (RADIATION ONCOLOGIST) |
| Authorized Official Telephone | 9739267320 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
25MB06193300 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7739001 | 05 |
| Street Address |
201 LYONS AVE DEPT OF RADIATION ONCOLOGY - E2 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607149 | Dong Chen | Anesthesiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2005-05-23 |
| 1558962100 | Chris Kemen | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-11-02 |
| 1275132904 | Special LLC | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-23 |
| 1326646019 | University Medical Associates (om) | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1063010742 | University Pediatric Associates (om) | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1932716586 | University Physician Associates of New Jersey, Inc. | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-28 |
| 1225642200 | Cresencia E Leopold | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-07 |
| 1538786546 | Uri Netanel Schneider | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-25 |
| 1275158032 | Nneka E Emenaka | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-08 |
| 1447874151 | Sarah Karron | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
| Find all providers in zip 07112 | ||||
| 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 |
|---|---|---|---|---|
| 1194068841 | Gaurav Shukla | Radiology | 4701 Ogletown Stanton Rd Ste 1110, Newark, DE 19713-2079 | 2013-04-01 |
| 1497739478 | Newark Radiation Oncology, Inc. | Radiology | 115 Mcmillen Dr, Newark, OH 43055-1808 | 2005-12-02 |
| 1326350471 | Adam C Maier | Radiology | 115 Mcmillen Dr, Newark, OH 43055-1808 | 2010-07-06 |
| 1437479292 | Lindsay Brown Romak | Radiology | 4701 Ogletown Stanton Rd, Newark, DE 19713-2055 | 2010-06-03 |
| 1558503797 | University Physician Associates of New Jersey, Inc. | Radiology | 205 S Orange Ave, Newark, NJ 07103-2785 | 2009-04-02 |
| 1225296668 | Lana Maria De Souza Lawrence | Radiology | 4701 Ogletown Stanton Rd, Ste 1109, Newark, DE 19713-2079 | 2008-05-31 |
| 1447273628 | Charles Stewart Cathcart | Radiology | 150 Bergen St, Level A- Room 1020, Newark, NJ 07103-2496 | 2006-07-26 |
| 1679517932 | Christopher D Koprowski | Radiology | 4701 Ogletown Stanton Rd, Ste 1109, Newark, DE 19713-2079 | 2006-06-16 |
| 1538103551 | Sunjay A Shah | Radiology | 4701 Ogletown Stanton Rd, Ste 1109, Newark, DE 19713-2079 | 2006-06-16 |
| 1871537894 | Jon F Strasser | Radiology | 4701 Ogletown Stanton Rd, Ste 1109, Newark, DE 19713-2079 | 2006-06-16 |
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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.