Organization Active NPI

Regional Cancer Care Associates LLC

  • Hematology & Oncology Physician
  • Sparta, NJ
National Provider Identifier
1851859136
Registry record updated Jan 22, 2025
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
210 Woodport Rd
Sparta, NJ 07871-2625
Phone
(973) 726-0005
NPI assigned
Mar 6, 2019
Organization subpart
Yes
Parent organization
REGIONAL CANCER CARE ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

210 Woodport Rd
Sparta, NJ 07871-2625

Mailing address

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

Other names 2

  • Regional Cancer Care Associates LLC Doing business as
  • Regional Cancer Care Associates LLC-Sparta Other name

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
31D1018141Regional Cancer Care Associates - Sparta210 Woodport Road, Sparta, NJ 07871ComplianceMar 8, 2028

National Provider Directory

National Provider Directory
Part of
Regional Cancer Care Associates LLP

Locations

25 Main St
Ste 502
Hackensack, NJ 07601

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1851859136",
    "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": "210 WOODPORT RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712625",
            "telephone_number": "973-726-0005"
        }
    ],
    "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": "2025-01-22",
        "certification_date": "2025-01-22",
        "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": "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",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regional Cancer Care Associates LLC-Sparta",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Regional Cancer Care Associates LLC-Sparta",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.