Provider Demographics
NPI:1558375535
Name:MERCER BUCKS HEMATOLOGY/ONCOLOGY PC
Entity Type:Organization
Organization Name:MERCER BUCKS HEMATOLOGY/ONCOLOGY PC
Other - Org Name:BELLEVUE HEMATOLOGY/ONCOLOGY PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DE ANGELIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-303-0747
Mailing Address - Street 1:2 CAPITAL WAY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-2521
Mailing Address - Country:US
Mailing Address - Phone:609-303-0747
Mailing Address - Fax:609-303-0773
Practice Address - Street 1:2 CAPITAL WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2521
Practice Address - Country:US
Practice Address - Phone:609-303-0747
Practice Address - Fax:609-303-0773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ558626OtherAETNA
NJ1014049OtherHNJH
NJCC8694OtherRAILROAD MEDICARE
NJ0113767000OtherAMERIHEALTH
NJ1523708OtherUMWA
NJ0113767000OtherKEYSTONE
NJ3046303Medicaid
NJ1014049OtherHNJH
NJ0113767000OtherKEYSTONE