NPIMap

Organization Active NPI

Regional Cancer Care Associates LLC

  • Hematology & Oncology Physician
  • East Brunswick, NJ
National Provider Identifier
1447524772
Registry record updated Jan 9, 2015
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
J2 Brier Hill CT
East Brunswick, NJ 08816
Phone
(732) 390-7750
Fax
(732) 390-7725
NPI assigned
Mar 5, 2012
Last updated
Jan 9, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL CANCER CARE ASSOCIATES LCCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Dr. Edward J Licitra, MD, PHDNPI 1538139548
Title
Managing Partner
Phone
(732) 390-7750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

J2 Brier Hill CT
East Brunswick, NJ 08816

Mailing address

J2 Brier Hill CT
East Brunswick, NJ 08816
Phone (732) 390-7750

Other names 1

  • Regional Cancer Care Associates LLC Other name

National Provider Directory

National Provider Directory
Part of
Regional Cancer Care Associates LLP

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1447524772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J2 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J2 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CANCER CARE ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL CANCER CARE ASSOCIATES LCC",
        "enumeration_date": "2012-03-05",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "LICITRA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "732-390-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Cancer Care Associates LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.