Provider Demographics
NPI:1255338216
Name:ONCOLOGY AND HEMATOLOGY ASSOCIATES
Entity type:Organization
Organization Name:ONCOLOGY AND HEMATOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:STAMBAUGH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD,PHD
Authorized Official - Phone:856-848-9292
Mailing Address - Street 1:1029 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-3503
Mailing Address - Country:US
Mailing Address - Phone:856-848-5132
Mailing Address - Fax:856-384-0275
Practice Address - Street 1:17 W RED BANK AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-1630
Practice Address - Country:US
Practice Address - Phone:856-848-9292
Practice Address - Fax:856-384-0275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA007331OtherPENNSYLVANIA BLUE SHIELD
NJ007331OtherBLAIRMILL
NJ0191516000OtherKEYSTONE EAST
NJ1027469OtherHORIZON NJ MERCY HEALTH
NJ0191516000OtherAMERIHEALTH
NJ8427668OtherAETNA
NJA7797OtherRAILROAD MEDICARE
NJG395759OtherOXFORD
NJ01000343100OtherAMERICHOICE
NJ2500265OtherGHI
NJ2750201Medicaid
NJ0007374OtherAETNA
NJ007331OtherBLAIRMILL
NJA7797OtherRAILROAD MEDICARE
NJ01000343100OtherAMERICHOICE
NJ0191516000OtherAMERIHEALTH