MEDICAL ONCOLOGY & HEMATOLOGY PC (NPI# 1164519419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164519419 |
| Entity Type | Organization |
| Organization Name | MEDICAL ONCOLOGY & HEMATOLOGY PC |
| Other Organization Name | DIAGNOSTIC HEMATOLOGY LAB |
| Practice Address |
240 Indian River Rd Suite A1 Orange CT 06477-3649 |
| Mailing Address |
19 Lunar Drive Medical Oncology and Hematology PC Woodbridge CT 06525 |
| Practice Telephone | 2037951664 |
| Practice Fax Number | 2037951665 |
| Mailing Telephone | 2033897504 |
| Mailing Fax Number | 2033891666 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-03-23 |
| Authorized Official Name | MS. CYNTHIA A WARANOWICZ (CEO) |
| Authorized Official Telephone | 2033897504 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL ONCOLOGY & HEMATOLOGY PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CL0172 | CT | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CMS CLIA | 07D0098236 | 01 |
| CT | DEPT OF PUBLIC HEALTH LIC | CL0172 | 01 |
| Other Name | Type Code |
|---|---|
| Diagnostic Hematology Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922192400 | Medical Oncology & Hematology PC | Clinical Medical Laboratory | 2080 Whitney Ave Suite 240, Hamden, CT 06437 | 2006-10-02 |
| 1922192079 | Medical Oncology & Hematology PC | Clinical Medical Laboratory | 1075 Chase Parkway, Waterbury, CT 06708 | 2006-10-03 |
| 1114011269 | Medical Oncology & Hematology PC | Clinical Medical Laboratory | 455 Lewis Ave, Meriden, CT 06451 | 2006-10-03 |
| 1174617245 | Medical Oncology & Hematology PC | Clinical Medical Laboratory | 1450 Chapel St, Suites A and B Father Mcgiveney Center for Cancer Care, New Haven, CT 06511 | 2006-10-03 |
| 1710071857 | Medical Oncology & Hematology PC | Clinical Medical Laboratory | 350 Seymour Ave, Suite 6, Derby, CT 06418-1338 | 2006-10-03 |
| Street Address |
240 INDIAN RIVER RD SUITE A1 |
| City | ORANGE |
| State | CT |
| Zip Code | 06477-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600381 | Jeffrey Reynolds | Internal Medicine | 240 Indian River Rd, Suite A5, Orange, CT 06477-3649 | 2005-09-22 |
| 1578190369 | Patrick Risko | Hearing Instrument Specialist | 240 Indian River Rd, Orange, CT 06477-3649 | 2020-03-24 |
| 1922648641 | Julia Ellen Muldoon | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2020-01-10 |
| 1457998502 | Ifeyinwa Leonard | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2019-12-09 |
| 1679070387 | Murielle Exantus | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2018-04-09 |
| 1124543632 | Jillian Marie Reid | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2017-08-04 |
| 1588022461 | Katherine Sullivan | Physical Therapist | 240 Indian River Rd, Suite A8, Orange, CT 06477-3649 | 2016-02-05 |
| 1083022339 | Weverton Depaula | Technician/Technologist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-07-31 |
| 1023426285 | Dr. Rocio Alicea O.d., LLC | Optometrist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-07-31 |
| 1548670094 | Veo Vision Center, LLC | Technician/Technologist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
| 1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
| 1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
| 1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
| 1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
| 1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
| 1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
| 1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
| 1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
| 1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
| Find all providers in zip 06477 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1396989182 | Kdj Enterprises | Clinical Medical Laboratory | 1439 W Chapman Ave, Suite 59, Orange, CA 92868-2738 | 2009-04-24 |
| 1033137088 | Unilab Corporation | Clinical Medical Laboratory | 431 S Batavia St Ste 102, Orange, CA 92868-3937 | 2006-07-18 |
| 1649225632 | Genetics Center | Clinical Medical Laboratory | 211 South Main Street, Suite E, Orange, CA 92868 | 2006-05-24 |
| 1982664967 | Genzyme Corporation | Clinical Medical Laboratory | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2006-03-24 |
| 1619423282 | Newport Harbor Pathology Medical Group Inc | Clinical Medical Laboratory | 805 W La Veta Ave, Suite 104, Orange, CA 92868-3901 | 2016-09-01 |
| 1003277641 | Valiant Diagnostics Inc | Clinical Medical Laboratory | 960 N Tustin St, Orange, CA 92867-5956 | 2016-03-10 |
| 1124312475 | Niloufar Reisian | Clinical Medical Laboratory | 101 The City Dr S, Bldg 1- Room 3003, Orange, CA 92868-3201 | 2011-06-03 |
| 1679874028 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2010-11-16 |
| Find all providers in ORANGE | ||||
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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.