PREMIER MEDICAL ONCOLOGY, LLC (NPI# 1417142613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417142613 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL ONCOLOGY, LLC |
| Practice Address |
631 Broadway Third Floor Bayonne NJ 07002-3846 |
| Practice Telephone | 2012431003 |
| Practice Fax Number | 2012431006 |
| Mailing Telephone | 2012431003 |
| Mailing Fax Number | 2012431006 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | DR. LORRIANE RIOTTO (PRESIDENT) |
| Authorized Official Telephone | 2012431003 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
25MA06130100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
631 BROADWAY THIRD FLOOR |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538121926 | Nadeem Ul Haque | Internal Medicine | 631 Broadway, Suite# B-2, 2nd Floor Rear, Bayonne, NJ 07002-3846 | 2006-04-03 |
| 1437633492 | Bayonne Pain Management Center, LLC | Pain Medicine | 631 Broadway, Bayonne, NJ 07002-3846 | 2018-09-17 |
| 1750698478 | Advantage Medical Consultants PC | Pain Medicine | 631 Broadway, Bayonne, NJ 07002-3846 | 2010-09-01 |
| 1164733739 | Ashish Kapoor | Psychiatry & Neurology | 631 Broadway, Third Floor, Bayonne, NJ 07002-3846 | 2010-06-29 |
| 1023281284 | Nj Pain Rehabilitation Group, PC | Family Medicine | 631 Broadway, First Floor, Bayonne, NJ 07002 | 2008-04-09 |
| 1902097389 | Diane K. Dworkin Dpm LLC | Podiatrist | 631 Broadway, 3rd Floor, Bayonne, NJ 07002-3846 | 2007-08-09 |
| 1700085867 | Nadeem Ul Haque Md PC | Specialist | 631 Broadway, Suite B2, Bayonne, NJ 07002 | 2007-07-17 |
| 1235275561 | Hooshang Sadeghi | Specialist | 631 Broadway, 3rd Floor, Bayonne, NJ 07002-3846 | 2007-01-30 |
| 1053457986 | Vinod Kapoor | Specialist | 631 Broadway, 3rd Floor, Bayonne, NJ 07002-3846 | 2007-01-29 |
| 1598837122 | Diane Kathryn Dworkin | Podiatrist | 631 Broadway, Suite 3, Bayonne, NJ 07002-3846 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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|---|---|---|---|---|
| 1194121152 | New Era Hemonc LLC | Internal Medicine | 473 Broadway Ste 411, Bayonne, NJ 07002-3667 | 2014-11-18 |
| 1639630973 | Iyengar Hematology Oncology Medical Center LLC | Internal Medicine | 27 E 29th St, Bayonne, NJ 07002-4654 | 2019-03-28 |
| 1053441071 | Iyengar Hematology Oncology Medical Center Pa | Internal Medicine | 27 E 29th St, Bayonne, NJ 07002-4654 | 2007-03-07 |
| 1033249073 | Colanta Hematology & Oncology Ctr Inc | Internal Medicine | 564 Broadway, Bayonne, NJ 07002-3825 | 2007-03-07 |
| 1689620700 | Devarajan P. Iyengar | Internal Medicine | 27 E 29th St, Bayonne, NJ 07002-4654 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976948 | Regional Cancer Care Associates LLC | Internal Medicine | 7650 River Rd Fl 2, North Bergen, NJ 07047-6526 | 2020-03-04 |
| 1609407337 | Regional Cancer Care Associates LLC | Internal Medicine | 9 Centre Dr Ste 100, Monroe Township, NJ 08831-5153 | 2020-01-31 |
| 1801451679 | Coastal Hematology & Oncology Center Professional Corporation | Internal Medicine | 143 Route 70, Toms River, NJ 08755-0971 | 2019-05-07 |
| 1275098022 | Regional Cancer Care Associates LLC | Internal Medicine | 75 Veronica Ave Ste 201, Somerset, NJ 08873-5002 | 2019-02-06 |
| 1194249565 | Mohammed Ali Jaloudi | Internal Medicine | 104 Adams Ct, Edgewater, NJ 07020-1651 | 2017-07-27 |
| 1720454564 | Community Cancer Centers of America LLC | Internal Medicine | 691 State Highway 33, Trenton, NJ 08619 | 2015-08-17 |
| 1790188050 | Vadim Zarubin | Internal Medicine | 377 Jersey Ave Ste 160, Jersey City, NJ 07302-4397 | 2014-10-01 |
| 1932501350 | Hematology Oncology Consultants LLC | Internal Medicine | 3086 Rt 27, Suite #8, Kendall Park, NJ 08824-1658 | 2014-09-17 |
| 1497095053 | Regional Cancer Care Associates | Internal Medicine | 30 Rehill Ave Fl 2, Suite 2500, Somerville, NJ 08876-2500 | 2013-02-19 |
| 1992057384 | Stephen G Vasso | Internal Medicine | 732 Mill St, Moorestown, NJ 08057-1831 | 2012-10-09 |
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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.