HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC (NPI# 1881078889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881078889 |
| Entity Type | Organization |
| Organization Name | HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC |
| Other Organization Name | DR. MOHTASEB CANCER CENTER AND BLOOD DISORDERS |
| Practice Address |
5225 S Highway 95 Suite 6 Fort Mohave AZ 86426-9111 |
| Mailing Address |
3900 Stockton Hill Rd Suite B368 Kingman AZ 86409-3029 |
| Practice Telephone | 9287704560 |
| Practice Fax Number | 9287704561 |
| Mailing Telephone | 9286811234 |
| Mailing Fax Number | 9286811811 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | HAMDY A MOHTASEB (PRESIDENT / OWNER) |
| Authorized Official Telephone | 9282793838 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dr. Mohtaseb Cancer Center and Blood Disorders | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483252 | Hematology Oncology Associates of North Jersey, LLC | Internal Medicine | 1225 Hancock Rd, Suite 204, Bullhead City, AZ 86442 | 2020-10-07 |
| 1972776672 | Hematology Oncology Associates of North Jersey, LLC | Durable Medical Equipment & Medical Supplies | 1755 Airway Avenue, Kingman, AZ 86409 | 2008-04-02 |
| Street Address |
5225 S HIGHWAY 95 SUITE 6 |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426-9111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118849 | Kitrin Lance Carpenter | Physician Assistant | 5225 S Highway 95, Suite 6, Fort Mohave, AZ 86426-9111 | 2005-07-14 |
| 1528256419 | Medicorp, Inc. | Family Medicine | 5225 S Highway 95, Suite 5, Fort Mohave, AZ 86426-9111 | 2007-10-04 |
| 1760524573 | Shakeel Aziz Kahn | Family Medicine | 5225 S Highway 95, Suite 5, Fort Mohave, AZ 86426-9111 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1205931839 | Jennifer Lind Womack | Dietitian, Registered | 5300 S. Highway 95 Ste A, Fort Mohave, AZ 86426 | 2006-09-14 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| Find all providers in zip 86426 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740700798 | Iloabueke Gabriel Chineke | Internal Medicine | 3838 N. Campbell Ave, Tucson, AZ 85719-1454 | 2017-06-21 |
| 1699035717 | Robert Dukjun Yoo | Internal Medicine | 1432 S Dobson Rd Ste 106, Mesa, AZ 85202 | 2012-05-22 |
| 1548538499 | Robert David Ligorsky | Internal Medicine | 11035 E Acoma Dr, Scottsdale, AZ 85255-1865 | 2011-12-07 |
| 1972895340 | Abhishek Harshad Patel | Internal Medicine | 5750 W Thunderbird Rd Ste C300, Glendale, AZ 85306-4666 | 2011-05-04 |
| 1487989927 | Clevius Arnold Curry | Internal Medicine | 10500 E Lost Canyon Dr Lot 8, Scottsdale, AZ 85255-4454 | 2009-10-15 |
| 1972746287 | Keerti Khandelwal | Internal Medicine | 1951 W 25th St Ste F, Yuma, AZ 85364-6924 | 2009-04-16 |
| 1336384809 | Irwin W Tischler | Internal Medicine | 4638 E Berneil Dr, Phoenix, AZ 85028-5500 | 2008-12-11 |
| 1205086378 | Desert Springs Cancer Care, P.l.c. | Internal Medicine | 8950 S 52nd St, Suite 101, Tempe, AZ 85284-1046 | 2008-09-25 |
| 1114182185 | Maria Mercedes Brenneisen | Internal Medicine | 21600 W El Grande Trl, Wickenburg, AZ 85390-3476 | 2008-07-18 |
| 1568625077 | Lida A Mina | Internal Medicine | 2940 E. Banner Gateway Dr., Gilbert, AZ 85234 | 2008-07-03 |
| Find all providers with the same taxonomy | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
Please comment or provide details below to improve the information on HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC.
| 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.