MEMORIAL SLOAN KETTERING CANCER CENTER


Address: 480 Red Hill Rd, Suite 1136, Middletown, NJ 07748-3052
Phone: 8482256060

MEMORIAL SLOAN KETTERING CANCER CENTER (NPI# 1982148466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982148466
Entity Type Organization
Organization Name MEMORIAL SLOAN KETTERING CANCER CENTER
Other Organization Name MEMORIAL SLOAN KETTERING AT MONMOUTH - RETAIL
Practice Address 480 Red Hill Rd
Suite 1136
Middletown
NJ 07748-3052
Mailing Address P.o. Box 026447
New York
NY 10087
Practice Telephone 8482256060
Practice Fax Number 2016916676
Mailing Telephone 2126392206
Mailing Fax Number 6462272465
Enumeration Date 2016-12-19
Last Update Date 2018-07-19
Authorized Official Name SUSAN MURILLO (PHARMACY MANAGER)
Authorized Official Telephone 2126392206
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
N 333600000X Pharmacy Suppliers
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
28RS00752500 NJ Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2166963 01

Other Provider/Organization Names

Other Name Type Code
Memorial Sloan Kettering at Monmouth - Retail Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932741253 Memorial Sloan Kettering Cancer Center Pharmacy 530 East 74 Street, Room 1101, New York, NY 10021 2019-10-09
1831601772 Memorial Sloan Kettering Cancer Center Pharmacy 650 Commack Rd Ste 1401, Commack, NY 11725-5404 2017-11-01
1922522994 Memorial Sloan Kettering Cancer Center Pharmacist 163 E. 53rd Street, Pharmacy Department 3rd Floor, New York, NY 10022 2017-08-01
1285173716 Memorial Sloan Kettering Cancer Center Special Hospital 117 Hartford Ave, Staten Island, NY 10310-3111 2017-02-16
1235442518 Memorial Sloan Kettering Cancer Center Chronic Disease Hospital 303 E 60th St Apt 34i, New York, NY 10022-1524 2010-07-15
1093037012 Memorial Sloan Kettering Cancer Center Special Hospital 10240 62nd Ave Apt 5t, Forest Hills, NY 11375-1032 2010-02-17
1962677203 Memorial Sloan Kettering Cancer Center General Acute Care Hospital 425 E 67th St, Dept. of Radiation Oncology, New York, NY 10065-6004 2008-04-28
1841791647 Memorial Sloan Kettering Cancer Center Nurse Anesthetist, Certified Registered 1275 York Ave, New York, NY 10065-6007 2018-02-27
1851822951 Memorial Sloan Kettering Cancer Center Special Hospital 415 Central Park W, #5bl, New York, NY 10025-4856 2017-03-21
1962851832 Memorial Sloan Kettering Cancer Center Special Hospital 1275 York Ave, New York, NY 10065-6007 2016-06-10

Other Data Sources

Entity Type Entity Name Entity Address
New York State Liquor License MEMORIAL SLOAN KETTERING CANCER CENTER 417 E 68TH ST ZUCKERMAN RESEARCH CENTER NEW YORK NY 10065

Office Location

Street Address 480 RED HILL RD
SUITE 1136
City MIDDLETOWN
State NJ
Zip Code 07748-3052

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497877971 Jeanine Rose Doody Nurse Practitioner 480 Red Hill Rd, Middletown, NJ 07748-3052 2007-04-04
1427608348 Tatsiana Iannaccio Pharmacist 480 Red Hill Rd, Middletown, NJ 07748-3052 2019-09-12
1407320872 Msk Surgery Nj Otolaryngology 480 Red Hill Rd, Middletown, NJ 07748-3052 2019-01-18
1619474467 Adam Mohamed Pharmacist 480 Red Hill Rd, Middletown, NJ 07748-3052 2018-04-09
1528564689 Jacqueline Cheng Pharmacist 480 Red Hill Rd, Middletown, NJ 07748-3052 2018-04-05
1811498520 Karen Powell Nurse Practitioner 480 Red Hill Rd, Middletown, NJ 07748-3052 2018-02-27
1902326473 Lala Gerr Pharmacist 480 Red Hill Rd, Middletown, NJ 07748-3052 2017-06-26
1801340583 Wendy W Chan Pharmacist 480 Red Hill Rd, Middletown, NJ 07748-3052 2016-08-10
1922459163 Msk Monmouth Internal Medicine 480 Red Hill Rd, Middletown, NJ 07748-3052 2016-06-29
1528428521 Memorial Sloan Kettering Monmouth General Acute Care Hospital 480 Red Hill Rd, Middletown, NJ 07748-3052 2016-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245872472 Daniella Marie Siragusa Pharmacist 1200 Nj 35, Middletown, NJ 07748 2019-10-09
1548801194 Victoria Coglianese Dietitian, Registered 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 2019-10-04
1396276184 Crp Regal Pointe, LLC Assisted Living Facility 1800 Nj Highway 35 South, Middletown, NJ 07748 2017-03-23
1780131284 Jocelyn Elizabeth Marrone Pharmacist 1447 State Highway 35, Middletown, NJ 07748 2016-09-01
1346796570 Michelle Caravella Dietitian, Registered 113 Lynch Rd, Middletown, NJ 07748 2016-08-28
1922553528 Jamie Manzo Physical Therapist 37 Kanes Ln, Middletown, NJ 07748 2016-08-24
1245697432 Middletown Oral Surgery Associates, P.C. Oral & Maxillofacial Surgery 21 New Monmouth Road, Middletown, NJ 07748 2016-01-20
1295171379 Taryn M Buffolino Counselor 41 Tall Tree Rd, Middletown, NJ 07748 2013-05-16
1477825925 Min Jin Kim Dentist 2 Apple Farm Road, Middletown, NJ 07748 2012-01-30
1295018562 Kavita Patel Pharmacist 271 Linden Avenue, North Middletown, NJ 07748 2011-09-23
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Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386152858 Sidon LLC Pharmacy 901 Summit Ave, Union City, NJ 07087-5530 2018-01-17
1679092381 Memorial Sloan-kettering Cancer Center Pharmacy 136 Mountainview Blvd Ste 171, Basking Ridge, NJ 07920-3444 2017-09-13
1568801058 El Shaddai Pharmacy Pharmacy 18 Bloomfield Ave, Newark, NJ 07104-2502 2013-06-18
1174663538 Village Super Market of Nj, L.p. Pharmacy 178 E Hanover Ave, Cedar Knolls, NJ 07927 2007-02-07
1255499372 Robert Wood Johnson University Hospital At Hamilton Pharmacy 5 Hamiton Health Place, Hamiton, NJ 08690 2006-12-04
1508953704 Woodbine Pharmacy Inc Pharmacy 621 Dehirsch Ave, Woodbine, NJ 08270-2338 2006-10-07
1245245893 Bejay Pharmacy Inc Pharmacy 450 Boulevard, Hasbrouck Heights, NJ 07604-1518 2006-07-30
1851842769 Ocean Health Initiatives Inc Pharmacy 798 County Road 539, Building #3, Little Egg Harbor, NJ 08087-4203 2016-10-17
1083006886 Professional Pain Management Dispensary Pharmacy 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 2015-03-03
1376821041 Talkers LLC Pharmacy 515 E Landis Ave, Vineland, NJ 08360-8003 2011-07-29
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Competitor

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City MIDDLETOWN
Zip Code 07748

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Dataset Information

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.

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