JAMESTOWN MEDICAL ONCOLOGY HEMATOLOGY, LLC
NPI 1518041342
Clinic/Center - Oncology in Jamestown, NY
NPI Status: Active since October 25, 2006
Contact Information
21 PORTER AVE
JAMESTOWN, NY
ZIP 14701
Phone: (716) 664-1909
Fax: (716) 664-2214
NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Clinic/Center
- Oncology
- CLIA Number: 33D1035335
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-26-2027
About JAMESTOWN MEDICAL ONCOLOGY HEMATOLOGY, LLC
This page provides the complete NPI Profile along with additional information for Jamestown Medical Oncology Hematology, Llc, a provider established in Jamestown, New York operating as a Clinic/center, focusing in oncology . The healthcare provider is registered in the NPI registry with number 1518041342 assigned on October 2006. The practitioner's primary taxonomy code is 261QX0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Jamestown Medical Oncology Hematology, Llc. The authorized official of this NPI record is Mrs. Susan Gabuten Ibabao (Practice Manager)
- NPI
- 1518041342
- Provider Legal Name
- JAMESTOWN MEDICAL ONCOLOGY HEMATOLOGY, LLC
- Other Organization Name
- JAMESTOWN MEDICAL ONCOLOGY HEMATOLOGY, LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 21 PORTER AVE JAMESTOWN, NY 14701
- Location Phone
- (716) 664-1909
- Location Fax
- (716) 664-2214
- Mailing Address
- PO BOX 9 JAMESTOWN, NY 14702
- Mailing Phone
- (716) 664-1909
- Mailing Fax
- (716) 664-2214
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2006
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Oncology
- Taxonomy Code
- 261QX0200X
- Type
- Ambulatory Health Care Facilities
- License State
- NY
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000866280 | OTHER (01) | NY | MGP |
| 714714 | OTHER (01) | NY | MVP |
| 040403007130 | OTHER (01) | NY | FIDELIS |
| 000524493003 | OTHER (01) | NY | BCBS OF WNY |
| 00010352702 | OTHER (01) | NY | UNIVERA HEALTHCARE |
| 0191329 | OTHER (01) | NY | INDEPENDENT HEALTH |
| 7200341 | OTHER (01) | NY | GHI |
| 0007232005 | OTHER (01) | NY | AETNA |
| CG8430 | OTHER (01) | NY | RR MEDICARE |
| 11303 | OTHER (01) | NY | MAGNACARE |
| AA0630 | OTHER (01) | NY | MEDICARE |
| 02365855 | MEDICAID (05) | NY | |
| 1294660001 | OTHER (01) | NY | NHIC DME JURISDICTION A |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D1035335
- Facility Type
- Physician Office
- Certificate Effective Date
- November 27, 2013
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. JAIRUS T. IBABAO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Jamestown Medical Oncology Hematology, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1518041342, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
JAMESTOWN, NY 14701
JAMESTOWN, NY 14701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518041342, enumerated as an "organization" on October 25, 2006.
The provider is located at 21 PORTER AVE JAMESTOWN, NY 14701 and the phone number is (716) 664-1909.
Clinic/Center with taxonomy code 261QX0200X and a focus in Oncology.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield, Aetna. Please consult your insurance carrier or call the provider to verify.
