SOUTH JERSEY RADIATION ONCOLOGY P.C. (NPI# 1871593426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871593426 |
| Entity Type | Organization |
| Organization Name | SOUTH JERSEY RADIATION ONCOLOGY P.C. |
| Practice Address |
1505 W Sherman Ave Vineland NJ 08360-6912 |
| Practice Telephone | 8566417920 |
| Practice Fax Number | 8566417915 |
| Mailing Telephone | 8566417920 |
| Mailing Fax Number | 8566417915 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | DR. JOSEPH WILLIAM FANELLE (PRESIDENT) |
| Authorized Official Telephone | 8566417926 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
========= | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8214808 | 05 |
| Street Address |
1505 W SHERMAN AVE |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-6912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649879 | Joseph Paul Yampaglia | Anesthesiology | 1505 W Sherman Ave, Vineland, NJ 08360-6912 | 2005-06-20 |
| 1699392977 | Tahia Sandra Hossain | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-07-02 |
| 1386264133 | Kimberly M Moy | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-22 |
| 1447870464 | David Kline | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-20 |
| 1245850395 | Rebecca Lee | Pharmacist | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-18 |
| 1457970931 | Andrew Coppa | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-14 |
| 1174142822 | Hayley Norian | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-13 |
| 1295354058 | Kaitlyn Brower Dressman | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-13 |
| 1851910608 | Muhammad Sheheryar Rizwan | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-12 |
| 1790304798 | Christopher Debord | Clinic/Center | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| 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 |
|---|---|---|---|---|
| 1477554418 | Glenda Ruth Smith | Radiology | 1505 W. Sherman Ave., Radiation Oncology, Vineland, NJ 08360-6912 | 2005-08-01 |
| 1578563334 | Joseph William Fanelle | Radiology | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856423 | Lourdes Medical Associates, Pa | Radiology | 220 Sunset Rd Ste 4, Willingboro, NJ 08046-1126 | 2017-08-09 |
| 1851788772 | Byung Han Rhieu | Radiology | 33 Overlook Rd Ste L05, Summit, NJ 07901-3561 | 2015-04-17 |
| 1801206776 | Gary Eastwick | Radiology | Two Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103 | 2014-05-01 |
| 1568882900 | Matthew Listo | Radiology | 900 Route 70 # 1a, Lakewood, NJ 08701-5940 | 2014-04-24 |
| 1558641126 | Princeton Procure Management, LLC | Radiology | 103 Cedar Grove Ln, Somerset, NJ 08873-4717 | 2011-08-26 |
| 1902104573 | Jersey City Radiation Therapy LLC | Radiology | 631 Grand Street, Suite 1-1, Jersey City, NJ 07304 | 2011-03-07 |
| 1972807824 | Hackensack Radiation Therapy LLC | Radiology | 20 Woodridge Ave, Hackensack, NJ 07601-6013 | 2011-01-07 |
| 1477865426 | Megan A. Mezera | Radiology | Two Cooper Plaza 400 Haddon Ave, Camden, NJ 08103 | 2010-07-07 |
| 1609008333 | Alina Hirsh | Radiology | 2090 Springdale Road, Suite B, Cherry Hill, NJ 08003 | 2009-08-13 |
| 1225278518 | Susan M Weissman | Radiology | 22 Stratford Dr, Livingston, NJ 07039-5140 | 2009-02-25 |
| Find all providers with the same taxonomy | ||||
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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.