Provider Demographics
NPI:1013970813
Name:HEMATOLOGY-ONCOLOGY ASSOCIATES OF NORTHERN NEW JERSEY, PA
Entity Type:Organization
Organization Name:HEMATOLOGY-ONCOLOGY ASSOCIATES OF NORTHERN NEW JERSEY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:IORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-538-4870
Mailing Address - Street 1:65 MADISON AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-538-4870
Mailing Address - Fax:973-267-6880
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:CAROL G SIMON CANCER CENTER
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07962-1089
Practice Address - Country:US
Practice Address - Phone:973-538-4870
Practice Address - Fax:973-267-6880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3046206Medicaid
NJ1013970813OtherMEDICARE GROUP NPI NUMBER
NJ526656Medicare ID - Type Unspecified
NJ3046206Medicaid