Regional Cancer Care Associates LLC
Organization Active NPI Hematology & Oncology Physician · North Falmouth, MA
NPI 1003677014 · NPPES record last updated Apr 21, 2024
Key facts
- NPI
- 1003677014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- REGIONAL CANCER CARE ASSOCIATES LLC
- Practice address
- 26 Edgerton Dr Ste a
North Falmouth, MA 02556-2820 - Phone
- (508) 564-7411
- NPI assigned
- Jan 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Terrill Jordan
- Title
- President/Ceo
- Phone
- (201) 510-0910
Other NPIs with the same Medicare PAC ID 6
Practitioners 149
-
Victor M Aviles, MD
-
Lori Ann Turner, FNP
-
Hannah D Yamin, DO
-
Jaffar Hilli, M.D.
-
May Abdo-Matkiwsky, D.O.
-
Sally S Agersborg, M.D., PH.D.
-
Kaleem Ahmad, M.D.
-
Alaa Ali, MD
-
Robert S Alter, MD
-
Gabrielle Frances Ambrosio, FNP-BC
-
Bableen Kaur Bajwa, APRN
-
Seth H Berk, MD
-
Andrew M Bernstein, D.O.
-
Noa Biran, M.D.
-
Michele Boonstra, MSN, NP-C
-
Marieta Branis, RN, APN-C
-
Janice A Carr, ARNP-C
-
Lynn Freeman Carten, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D1077120 | Regional Cancer Care Associates | Compliance | Jun 11, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240903002276 | MA | Part B Supplier - Clinic/Group Practice | 5294710091 |
Receives reassigned benefits from 5 practitioners Practice locations: North Falmouth, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | Yes |
Addresses
Primary practice location
26 Edgerton Dr Ste a
North Falmouth, MA 02556-2820
Mailing address
500 Frank W Burr Blvd
Suite 560 Mailbox 29
Teaneck, NJ 07666
Phone (201) 510-0910
Other names
- Regional Cancer Care Associates LLC
Other providers in North Falmouth, MA
- Sarah Orciuch
- Shantelle Aesha Pimentel
- Vicki Putz
- Kavitha Reddy
- Robert M Reece
- Revert LLC
- Shannon Ryberg
- Myles Shepherd
- Nida Shuttari
- Kathryn Sweeney
All providers in North Falmouth, MA · Hematology & Oncology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.