Provider Demographics
NPI:1295780575
Name:STAR HEMATOLOGY & MEDICAL ONCOLOGY ASSOCIATES
Entity type:Organization
Organization Name:STAR HEMATOLOGY & MEDICAL ONCOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-454-0370
Mailing Address - Street 1:190 ROSEBERRY ST
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-1630
Mailing Address - Country:US
Mailing Address - Phone:908-454-0370
Mailing Address - Fax:908-454-2661
Practice Address - Street 1:190 ROSEBERRY ST
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-1630
Practice Address - Country:US
Practice Address - Phone:908-454-0370
Practice Address - Fax:908-454-2661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02336300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ02910800OtherCAPITAL BLUE CROSS
NJ0727539000OtherKEYSTONE HEALTHPLAN EAST
NJ2223131OtherAETNA
NJ445086OtherPREMIER BLUE
NJ445086OtherHIGHMARK BLUE CROSS
NJ7148801Medicaid
NJ479077OtherCIGNA HEALTHCARE
NJ445086OtherAMERIHEALTH
NJ445086OtherHIGHMARK BLUE CROSS
NJ7148801Medicaid
NJ02910800OtherCAPITAL BLUE CROSS
NJ=========OtherDEVON
=========OtherHEALTH CARE PAYORS
NJ=========OtherHORIZON BLUE CROSS
NJ=========OtherHEALTH NETWORK AMERICA
NJ=========OtherMAGNA CARE
PA057995QL5Medicare ID - Type UnspecifiedMEDICARE PA