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NEW JERSEY CANCER AND INTEGRATED MEDICINE CENTER, LLC
NPI 1780150342
Internal Medicine - Hematology & Oncology in Englewood Cliffs, NJ

Active since October 22, 2018
464 HUDSON TER STE 200, ENGLEWOOD CLIFFS, NJ 07632(201) 408-5442 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2019, Oct 22, 2018 (2 updates tracked since 2018).

About New Jersey Cancer And Integrated Medicine Center, Llc NPPES

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

NEW JERSEY CANCER AND INTEGRATED MEDICINE CENTER, LLC (NPI 1780150342) is a healthcare organization registered as a hematology & oncology in Englewood Cliffs, New Jersey and active in the NPI registry since October 2018. The organization lists Hai Sun Park, President, as its authorized official.

NPPES Registry Identity

NPI1780150342
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameNEW JERSEY CANCER AND INTEGRATED MEDICINE CENTER, LLC
Location Address464 HUDSON TER STE 200Englewood Cliffs, NJ 07632-2917
Mailing Address464 Hudson Ter Ste 201Englewood Cliffs, NJ 07632-2917
Phone(201) 408-5442
Organization SubpartNo
Authorized OfficialHai Sun ParkPresident · (201) 408-5442
Enumeration DateOctober 22, 2018
Last NPPES UpdateMarch 27, 20192 updates tracked since enumeration
✔ NPI 1780150342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
464 HUDSON TER STE 200, Englewood Cliffs, NJ 07632
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

New Jersey Cancer And Integrated Medicine Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Jersey Cancer And Integrated Medicine Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hai Park, M.D.
Internal Medicine
NPI 1508805839
464 HUDSON TER STE 200
Englewood Cliffs, NJ 07632
(201) 408-5442
✔ PECOS✔ Accepts MedicareSame address

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

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #10379 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #10379

DMEPOS supplier · Englewood, NJOperated by New Jersey CVS Pharmacy LLC
⋮

Does not accept Medicare assignment

CVS Pharmacy #10379 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20427869
Medicare Participant SinceJanuary 1, 2019
Supplier Location10 West Palisade AveEnglewood, NJ 07631
Phone(201) 541-5548
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 New Jersey Cancer And Integrated Medicine Center, LLC's NPI number?

The NPI number for New Jersey Cancer And Integrated Medicine Center, LLC is 1780150342. It was assigned to this organization in the NPPES registry on October 22, 2018.

Where is New Jersey Cancer And Integrated Medicine Center, LLC located?

New Jersey Cancer And Integrated Medicine Center, LLC is located at 464 Hudson Ter Ste 200, Englewood Cliffs, NJ 07632. The listed phone number is (201) 408-5442.

What is New Jersey Cancer And Integrated Medicine Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is New Jersey Cancer And Integrated Medicine Center, LLC enrolled in Medicare?

Yes. New Jersey Cancer And Integrated Medicine Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Jersey Cancer And Integrated Medicine Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to New Jersey Cancer And Integrated Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does New Jersey Cancer And Integrated Medicine Center, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, CVS Pharmacy #10379 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for New Jersey Cancer And Integrated Medicine Center, LLC was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.