MEDICARE: ONCOLOGY AND HEMATOLOGY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician		NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	A7797	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	007331	OTHER	PA	PENNSYLVANIA BLUE SHIELD
2	007331	OTHER	NJ	BLAIRMILL
3	0191516000	OTHER	NJ	KEYSTONE EAST
4	1027469	OTHER	NJ	HORIZON NJ MERCY HEALTH
5	0191516000	OTHER	NJ	AMERIHEALTH
6	8427668	OTHER	NJ	AETNA
8	G395759	OTHER	NJ	OXFORD
9	01000343100	OTHER	NJ	AMERICHOICE
10	2500265	OTHER	NJ	GHI
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	0007374	OTHER	NJ	AETNA

General Provider Information

NPI Number	:	1255338216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONCOLOGY AND HEMATOLOGY ASSOCIATES

Provider Business Mailing Address
First Line	:	1029 N BROAD ST
Second Line	:
City	:	WOODBURY
State	:	NJ
Zip	:	08096-3503
Country	:	US
Telephone Number	:	856-848-5132
Fax Number	:	856-384-0275

Provider Business Practice Location Address
First Line	:	17 W RED BANK AVE
Second Line	:	SUITE 101
City	:	WOODBURY
State	:	NJ
Zip	:	08096-1630
Country	:	US
Telephone Number	:	856-848-9292
Fax Number	:	856-384-0275

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN E STAMBAUGH JR.
Credential	:	M.D.,PH.D
Telephone Number	:	856-848-9292

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	07/21/2022

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