NPIMap

Organization Active NPI

Rcca MD LLC

  • Hematology & Oncology Physician
  • Olney, MD
National Provider Identifier
1467800367
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
RCCA MD LLC
Practice address
18111 Prince Philip Dr Ste 327
Olney, MD 20832-1507
Phone
(301) 570-0136
NPI assigned
Jun 1, 2016
Organization subpart
No

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
President/Ceo
Phone
(201) 510-0910

Specialties & licenses 1

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

Addresses

Primary practice location

18111 Prince Philip Dr Ste 327
Olney, MD 20832-1507

Mailing address

500 Frank W Burr Blvd
Suite 560 Mailbox 29
Teaneck, NJ 07666
Phone (201) 510-0900

Other practice location 1

22616 Gateway Center Dr Ste C
Clarksburg, MD 20871-2011
Phone (301) 685-6300

Other practice location 2

9715 Medical Center Dr Ste 531
Rockville, MD 20850-3310
Phone (301) 424-9723

Other practice location 3

9715 Medical Center Dr Ste 221
Rockville, MD 20850-6319
Phone (301) 774-6136

Other practice location 4

5530 Wisconsin Ave Ste 1640
Chevy Chase, MD 20815-4305
Phone (301) 657-4588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160711001213 DC Part B Supplier - Clinic/Group Practice 8123310208 Receives reassigned benefits from 7 practitioners
4 other NPIs on this enrollment
Practice locations: Chevy Chase, MD; Rockville, MD; Olney, MD; Clarksburg, MD

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Rcca MD LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5530 Wisconsin Ave
Ste 1460
Chevy Chase, MD 20815

5454 Wisconsin Ave
Ste 1300
Chevy Chase, MD 20815
Phone (301) 657-4588

3418 Olandwood Ct
Ste 111
Olney, MD 20832
Phone (301) 498-5067

9715 Medical Center Dr
Ste 221
Rockville, MD 20850
Phone (301) 279-7510

723 N Beers St
Holmdel, NJ 07733
Phone (732) 739-3337

180 White Rd
Ste 1
Little Silver, NJ 07739

7650 River Rd
North Bergen, NJ 07047
Phone (201) 639-6620

7650 River Rd
Ste 200
North Bergen, NJ 07047
Phone (201) 464-0008

89 Sparta Ave
Ste 130
Sparta, NJ 07871
Phone (973) 726-0005

500 Frank W Burr Blvd
Ste 560
Teaneck, NJ 07666

9 Hospital Dr
Ste A17
Toms River, NJ 08755
Phone (201) 487-4700

260 Old Hook Rd
Ste 301
Westwood, NJ 07675
Phone (201) 383-4840

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713657600000",
    "number": "1467800367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FRANK W BURR BLVD",
            "address_2": "SUITE 560 MAILBOX 29",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-510-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR STE 327",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321507",
            "telephone_number": "301-570-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22616 Gateway Center Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "MD",
            "postal_code": "208712011",
            "country_code": "US",
            "telephone_number": "301-685-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9715 Medical Center Dr Ste 531",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503310",
            "country_code": "US",
            "telephone_number": "301-424-9723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9715 Medical Center Dr Ste 221",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506319",
            "country_code": "US",
            "telephone_number": "301-774-6136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5530 Wisconsin Ave Ste 1640",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208154305",
            "country_code": "US",
            "telephone_number": "301-657-4588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RCCA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "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": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "201-510-0910"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.