Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin Haseltine, MD

Individual provider Internal Medicine Physician · NPI 1710335633

Dr. Justin Haseltine, MD is a Radiation Oncology in New York, New York. Qualified in 2016, 10 years ago. Practices with Memorial Radiation Oncology Group, a 91-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Rhode Island.

Years since qualifying
10
Licensed in
NY, RI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1275 York Ave # 22
New York, NY 10065-6007
Phone: (212) 639-6800
Fax: (212) 717-3104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Therapeutic Radiology Physician (primary) Taxonomy 2085R0203X · Licence 298428 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence LP03746 (RI)

Record details

NPI number1710335633
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2016
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Memorial Radiation Oncology Group — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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