Regional Cancer Care Associates LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

REGIONAL CANCER CARE ASSOCIATES LLC

Practice address

18 Newark Pompton Tpke
Riverdale, NJ 07457-1141

Phone

(201) 510-0910

NPI assigned

Mar 6, 2019

Organization subpart

Yes

Parent organization

REGIONAL CANCER CARE ASSOCIATES LLCAs reported in NPPES

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

Addresses

Other names 1

• Regional Cancer Care Associates LLC- Pompton Plains Other name

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

CLIA laboratory certificates

Part of

Regional Cancer Care Associates LLP

Locations

Practitioners 7

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

• Maritess Fusco, APN

  • Nurse Practitioner
  • Hackensack, NJ
  • NPI 1104698653
  NPD (past)
• Christi Young-Ah Kim, MD

  • Medical Oncology Physician
  • North Bergen, NJ
  • NPI 1053475673
  NPD (past)
• Rebecca Martin, APN

  • Gerontology Nurse Practitioner
  • Hackensack, NJ
  • NPI 1053192161
  NPD (past)
• Krystal Park, MD

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1912468661
  NPD (past)
• Jennifer Teperino

  • Adult Health Nurse Practitioner
  • Hackensack, NJ
  • NPI 1124428487
  NPD (past)
• Sally S Agersborg, M.D., PH.D.

  • Hematology (Pathology) Physician
  • Irvine, CA
  • NPI 1053505743
  NPD (past)
• Ahmad Charifa

  • Anatomic Pathology & Clinical Pathology Physician
  • Orange, CA
  • NPI 1215315361
  NPD (past)

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713657600000",
    "number": "1578021853",
    "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": "18 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571141",
            "telephone_number": "201-510-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CANCER CARE ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL CANCER CARE ASSOCIATES LLC",
        "enumeration_date": "2019-03-06",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Cancer Care Associates LLC- Pompton Plains",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Regional Cancer Care Associates LLC- Pompton Plains",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Progressive Diagnostic Imaging, LLC
• Push to Walk
• Danver Quintin, OTR/L
• Christopher Rago, DPT
• Danielle C Rayder, DPT
• Kenneth Remsen, MD
• Riverdale Family Dental, PA
• Riverdale Surgery Center LLC
• Riverdale Vision Care, P.a.
• Travis A Rode, DC

• Hematology & Oncology Physician in Riverdale, NJ
• Providers in Riverdale, NJ by specialty
• Hematology & Oncology Physician in New Jersey

• 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 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.