Organization Active NPI

Regional Cancer Care Associates LLC

  • Hematology & Oncology Physician
  • Freehold, NJ
National Provider Identifier
1255412359
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MA42131 Issued in NJ
Legal business name
REGIONAL CANCER CARE ASSOCIATES LLC
Doing business as
Regional CAncer Care Associates LLC
Practice address
326 Professional View Dr
Freehold, NJ 07728-7904
Phone
(732) 431-8400
Fax
(732) 431-0114
NPI assigned
Oct 17, 2006
Last updated
Apr 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL CANCER CARE ASSOCIATES, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2024

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

Authorized official

Name
Terrill Jordan
Title
Authorized Official
Phone
(201) 510-0910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X MA42131 NJ Primary

Addresses

Primary practice location

326 Professional View Dr
Freehold, NJ 07728-7904

Mailing address

326 Professional View Dr
Freehold, NJ 07728-7904
Phone (732) 431-8400

Other names 1

  • Regional CAncer Care Associates LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Regional Cancer Care Associates LLP

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713657600000",
    "number": "1255412359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 PROFESSIONAL VIEW DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "732-431-8400",
            "fax_number": "732-431-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 PROFESSIONAL VIEW DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "732-431-8400",
            "fax_number": "732-431-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CANCER CARE ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL CANCER CARE ASSOCIATES, L.L.C.",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TERRILL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "201-510-0910"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA42131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional CAncer Care Associates LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.