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SPARTA CANCER CENTER LLC
NPI 1649220690
Radiology - Radiation Oncology in Sparta, NJ

Active since May 11, 2006
89 SPARTA AVE, SPARTA, NJ 07871(973) 729-7001(973) 729-0256 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sparta Cancer Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARTA CANCER CENTER LLC (NPI 1649220690) is a healthcare organization registered as a radiation oncology in Sparta, New Jersey and active in the NPI registry since May 2006. The organization lists Elsie J Ward, Admin. Assistant/credentialist, as its authorized official.

NPPES Registry Identity

NPI1649220690
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameSPARTA CANCER CENTER LLC
Location Address89 SPARTA AVESparta, NJ 07871-1777
Mailing Address1110 Meade StDunmore, PA 18512-3169 · (570) 504-7210 · Fax (570) 955-2213
Phone(973) 729-7001
Fax(973) 729-0256
Organization SubpartNo
Authorized OfficialElsie J WardAdmin. Assistant/credentialist · (570) 504-7210
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1649220690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
89 SPARTA AVE, Sparta, NJ 07871
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Other Identifiers 1

Medicaid0116441NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sparta Cancer Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sparta Cancer Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kathy Lo, MD
Radiation Oncology
NPI 1306065479
89 SPARTA AVE
Sparta, NJ 07871
(973) 729-7001
✔ PECOS✔ Accepts MedicareSame address
Lawrence Koutcher, M.D.
Radiation Oncology
NPI 1316141773
19 COOKE ST
Poughkeepsie, NY 12601
(570) 504-7210
✔ PECOS✔ Accepts Medicare60 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sparta Cancer Center LLC's NPI number?

The NPI number for Sparta Cancer Center LLC is 1649220690. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Sparta Cancer Center LLC located?

Sparta Cancer Center LLC is located at 89 Sparta Ave, Sparta, NJ 07871. The listed phone number is (973) 729-7001.

What is Sparta Cancer Center LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Sparta Cancer Center LLC enrolled in Medicare?

Yes. Sparta Cancer Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sparta Cancer Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Radiation Oncology, reassign their Medicare billing to Sparta Cancer Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sparta Cancer Center LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.