Organization Active NPI

Regional Cancer Care Associates LLC

  • Hematology & Oncology Physician
  • Edison, NJ
National Provider Identifier
1154178929
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
REGIONAL CANCER CARE ASSOCIATES LLC
Practice address
15 Main St Ste 1
Edison, NJ 08837-3447
Phone
(908) 755-1165
Fax
(908) 755-2093
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL CANCER CARE ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terrill Jordan
Title
President
Phone
(201) 510-0910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

15 Main St Ste 1
Edison, NJ 08837-3447

Mailing address

500 Frank W Burr Blvd Ste 560
Teaneck, NJ 07666-6804
Phone (201) 510-0910

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0965497Regional Cancer Care Associates LLC15 Main Street, Suite 1, Edison, NJ 08837AccreditationOct 9, 2026

National Provider Directory

National Provider Directory
Part of
Healthsource Associate

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1154178929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FRANK W BURR BLVD STE 560",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666804",
            "telephone_number": "201-510-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAIN ST STE 1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373447",
            "telephone_number": "908-755-1165",
            "fax_number": "908-755-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CANCER CARE ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL CANCER CARE ASSOCIATES LLC",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TERRILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-510-0910"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.