JACK EBANI MD IMRT LLC (NPI# 1093984676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093984676 |
| Entity Type | Organization |
| Organization Name | JACK EBANI MD IMRT LLC |
| Practice Address |
900 Rt 70 East Lakewood NJ 08701-5940 |
| Mailing Address |
50 Old Farm Rd Oakhurst NJ 07755-1660 |
| Practice Telephone | 7329017314 |
| Practice Fax Number | 7329015704 |
| Mailing Telephone | 7327744551 |
| Mailing Fax Number | 7327748933 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | JACK E EBANI (PRESIDENT) |
| Authorized Official Telephone | 7327744551 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
900 RT 70 EAST |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| 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 |
|---|---|---|---|---|
| 1568882900 | Matthew Listo | Radiology | 900 Route 70 # 1a, Lakewood, NJ 08701-5940 | 2014-04-24 |
| 1588830467 | Robert Percy Thomas Reeves | Radiology | 1100 B Argyll Circle, Lakewood, NJ 08701 | 2008-05-01 |
| 1013044585 | Jersey Shore Brachytherapy P A | Radiology | 900 Route 70 West, Lakewood, NJ 08701-5940 | 2007-02-28 |
| 1720058258 | Stewart A Berkowitz | Radiology | 900 Route 70 East, Suite 2a, Lakewood, NJ 08701-5940 | 2006-01-26 |
| 1790768125 | Michael J Marchese | Radiology | 900 Route 70, Lakewood, NJ 08701-5940 | 2005-11-21 |
| 1336551308 | Jersey Shore Teletherapy LLC | Radiology | 900 Route 70, Suite 2a, Lakewood, NJ 08701-5940 | 2014-05-27 |
| 1518198050 | Rad Onc Physician Services LLC | Radiology | 900 Route 70 East, Lakewood, NJ 08701-5940 | 2009-07-31 |
| 1710111711 | Advanced Urologic Radiation Associates, LLC | Radiology | 900 Route 70, Lakewood, NJ 08701-5940 | 2009-05-06 |
| 1588806889 | Welrad LLC | Radiology | 900 Route 70 East, Lakewood, NJ 08701-5940 | 2009-04-01 |
| 1770733057 | Kirit M. Pandya - Imrt LLC | Radiology | 900 Route 70, Dr Kirit M Pandya, Lakewood, NJ 08701-5940 | 2008-09-24 |
| Find all providers in LAKEWOOD | ||||
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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.