NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC (NPI# 1467516773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467516773 |
| Entity Type | Organization |
| Organization Name | NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC |
| Other Organization Name | COMMUNITY CANCER CARE |
| Practice Address |
100 Haynes St Manchester CT 06040-4113 |
| Mailing Address |
2864 Johnson Ferry Rd Suite 150 Marietta GA 30062-8345 |
| Practice Telephone | 8605334000 |
| Mailing Telephone | 7706932622 |
| Mailing Fax Number | 7706935821 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | DANIEL DELGALLO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8606461222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
========= | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | OXFORD | A1725354 | 01 |
| CT | CONNECTICARE | 954221 | 01 |
| CT | CIGNA | 33006856 | 01 |
| CT | ANTHEM BS | 68RDONC01CT1 | 01 |
| CT | SAGA | 61426856 | 01 |
| CT | AETNA USHC | 2158621 | 01 |
| CT | 004214293 | 05 | |
| CT | AETNA MEDICARE | 2139370 | 01 |
| Other Name | Type Code |
|---|---|
| Community Cancer Care | Doing Business As Name - Organization |
| Street Address |
100 HAYNES ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992774434 | Michael A Reale | Specialist | 100 Haynes St, 2nd Floor, Manchester, CT 06040-4113 | 2006-03-16 |
| 1033667845 | Regional Cancer Care Associates LLC | Internal Medicine | 100 Haynes St, 2nd Floor, Manchester, CT 06040-4113 | 2016-09-21 |
| 1366891475 | Nrron LLC | Clinic/Center | 100 Haynes St, Manchester, CT 06040-4113 | 2016-06-09 |
| 1093022675 | Xuemei Li | Specialist | 100 Haynes St, 2nd Floor, Manchester, CT 06040-4113 | 2010-09-02 |
| 1013178466 | Joseph Francis Mclaughlin | Internal Medicine | 100 Haynes St, Second Floor, Manchester, CT 06040-4113 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| 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 |
|---|---|---|---|---|
| 1790990356 | Stephen Harris | Radiology | 1 Elliot Way, Manchester, NH 03103-3502 | 2007-05-14 |
| 1427180363 | Brian Robert Knab | Radiology | 1 Elliot Way, Manchester, NH 03103-3502 | 2007-03-09 |
| 1063584795 | Charles George Leutzinger | Radiology | 1 Elliot Way, Manchester, NH 03103-3502 | 2006-11-15 |
| 1336163047 | James David Becht | Radiology | 1 Elliot Way, Radiation Oncology Department, Manchester, NH 03103-3502 | 2006-07-26 |
| 1639103914 | Donald R Weiss | Radiology | 1 Elliot Way, Elliot Hospital - Radiation Oncology, Manchester, NH 03103-3502 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565948 | David Gasalberti | Radiology | 243 Steele Rd Apt 314, West Hartford, CT 06117-1725 | 2015-04-13 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1407173115 | William J Aberizk Jr. | Radiology | 166 Ledgewood Rd, Apt 108, Groton, CT 06340-6614 | 2010-04-21 |
| 1326206855 | Ranjit S Bindra | Radiology | 20 York Street, Smilow Cancer Hospital, Yale New Haven, Lower Level, New Haven, CT 06510 | 2008-05-31 |
| 1760640643 | Douglas Michael Housman | Radiology | 25 Newell Road, Suite C11, Bristol, CT 06010-5100 | 2008-05-28 |
| 1306020474 | James Byunghoon Yu | Radiology | 20 York St, T-209, Yale - New Haven Hospital, New Haven, CT 06510 | 2007-12-24 |
| 1417150004 | Ann C Cea | Radiology | 244 Byram Shore Rd, Greenwich, CT 06830-6932 | 2007-06-09 |
| 1750400644 | Suzanne Buckley Evans | Radiology | 865 Montauk Ave, Cancer Center, New London, CT 06320 | 2007-03-29 |
| 1912084419 | Sean W. Dowling | Radiology | 34 Shelburne Rd, Radiation Oncology, Stamford, CT 06902-3628 | 2006-11-01 |
| 1427163815 | Allen B Silberstein | Radiology | 536 Saybrook Road, Middlesex Hospital Cancer Center, Middletown, CT 06457 | 2006-08-19 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC.
| 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.