REGIONAL CANCER CARE ASSOCIATES LLC (NPI# 1275098022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275098022 |
| Entity Type | Organization |
| Organization Name | REGIONAL CANCER CARE ASSOCIATES LLC |
| Practice Address |
75 Veronica Ave Ste 201 Somerset NJ 08873-5002 |
| Mailing Address |
J2 Brier Hill Ct East Brunswick NJ 08816-3340 |
| Practice Telephone | 7322464882 |
| Practice Fax Number | 7322495633 |
| Mailing Telephone | 7323907750 |
| Mailing Fax Number | 7323904628 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | EDWARD J LICITRA (MANAGING PARTNER) |
| Authorized Official Telephone | 7323907750 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northern New Jersey Cancer Associates | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976948 | Regional Cancer Care Associates LLC | Internal Medicine | 7650 River Rd Fl 2, North Bergen, NJ 07047-6526 | 2020-03-04 |
| 1609407337 | Regional Cancer Care Associates LLC | Internal Medicine | 9 Centre Dr Ste 100, Monroe Township, NJ 08831-5153 | 2020-01-31 |
| 1700292380 | Regional Cancer Care Associates LLC | Pharmacy | Brier Hill Court, K2 Building, East Brunswick, NJ 08816-3341 | 2014-07-03 |
| 1568737534 | Regional Cancer Care Associates LLC | Internal Medicine | 89 Sparta Ave Ste 130, Sparta, NJ 07871-1791 | 2012-03-09 |
| 1346840246 | Regional Cancer Care Associates LLC | Internal Medicine | Brier Hill Court, Building K2, East Brunswick, NJ 08816 | 2020-10-29 |
| 1902431240 | Regional Cancer Care Associates LLC | Internal Medicine | 260 Old Hook Rd, Westwood, NJ 07675-3123 | 2020-03-06 |
| 1477118248 | Regional Cancer Care Associates LLC | Internal Medicine | 345 N Main St Ste 318, West Hartford, CT 06117-2508 | 2019-05-07 |
| 1205398088 | Regional Cancer Care Associates LLC | Internal Medicine | 180 White Rd, Little Silver, NJ 07739-1166 | 2019-04-02 |
| 1578021853 | Regional Cancer Care Associates LLC | Internal Medicine | 97 W Parkway, Pompton Plains, NJ 07444-1647 | 2019-03-06 |
| 1851859136 | Regional Cancer Care Associates LLC | Internal Medicine | 89 Sparta Ave Ste 130, Sparta, NJ 07871-1791 | 2019-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | REGIONAL CANCER CARE ASSOCIATES LLC | 25 Main St, Suite 601, Hackensack, NJ 07601 |
| Virginia Business Entities | REGIONAL CANCER CARE ASSOCIATES LLC | 25 Main St Ste 601, Hackensack, New Jersey 07601 |
| Street Address |
75 VERONICA AVE STE 201 |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659383669 | Yumi Kim | Internal Medicine | 107 Cedar Grove Ln, Suite 101, Somerset, NJ 08873-4719 | 2006-08-12 |
| 1548266844 | Bachar Kassem | Internal Medicine | 95 Bogle Office Park Dr, Somerset, KY 42503-2810 | 2005-06-22 |
| 1124441274 | Lake Cumberland Physician Practices, LLC | Internal Medicine | 401 Bogle St, Suite 101, Somerset, KY 42503-3823 | 2014-01-27 |
| 1558586677 | Lucianna Dimeglio | Internal Medicine | 75 Veronica Avenue, Suite 201, Somerset, NJ 08873 | 2007-04-16 |
| 1487776373 | Sameer P Desai | Internal Medicine | 75 Veronica Ave, Suite 201, Somerset, NJ 08873-5002 | 2007-04-04 |
| 1245289859 | Hematology & Oncology Center, Pllc | Internal Medicine | 401 Bogle St, Suite 101, Somerset, KY 42503-2849 | 2006-05-09 |
| 1851373096 | N Mullai | Internal Medicine | 401 Bogle St, Ste 101, Somerset, KY 42503-2849 | 2005-11-15 |
| 1801887286 | Robert P Fein | Internal Medicine | 75 Veronica Ave, Suite 201, Somerset, NJ 08873-5002 | 2005-11-03 |
| 1063403509 | Craig Lampert | Internal Medicine | 75 Veronica Ave, Suite 201, Somerset, NJ 08873-5002 | 2005-11-03 |
| 1972594414 | Marcus Peter Porcelli | Internal Medicine | 75 Veronica Ave, Suite 201, Somerset, NJ 08873-5002 | 2005-11-03 |
| Find all providers in SOMERSET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.