REGIONAL CANCER CARE ASSOCIATES LLC (NPI# 1447524772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447524772 |
| Entity Type | Organization |
| Organization Name | REGIONAL CANCER CARE ASSOCIATES LLC |
| Other Organization Name | REGIONAL CANCER CARE ASSOCIATES LLC |
| Practice Address |
J2 Brier Hill Ct East Brunswick NJ 08816 |
| Practice Telephone | 7323907750 |
| Practice Fax Number | 7323907725 |
| Mailing Telephone | 7323907750 |
| Mailing Fax Number | 7323907725 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | DR. EDWARD J LICITRA (MANAGING PARTNER) |
| Authorized Official Telephone | 7323907750 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | REGIONAL CANCER CARE ASSOCIATES LCC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Regional Cancer Care Associates LLC | Other Name - Individual/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 |
| 1275098022 | Regional Cancer Care Associates LLC | Internal Medicine | 75 Veronica Ave Ste 201, Somerset, NJ 08873-5002 | 2019-02-06 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | REGIONAL CANCER CARE ASSOCIATES LLC | 25 Main St, Suite 601, Hackensack, NJ 07601 |
| Street Address |
J2 BRIER HILL CT |
| City | EAST BRUNSWICK |
| State | NJ |
| Zip Code | 08816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811986714 | Christina D Flocco | Nurse Practitioner | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2005-10-14 |
| 1790396281 | Titan Health Partners LLC | Radiology | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2020-08-10 |
| 1558918979 | Miguel Gonzalez | Nurse Practitioner | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2019-08-20 |
| 1336553627 | Amita B Patel | Nurse Practitioner | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2014-06-16 |
| 1235556531 | Mohammad H Kazemi | Internal Medicine | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2014-03-25 |
| 1770838765 | Jessica Gomes | Physician Assistant | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2012-07-17 |
| 1821362146 | Regional Cancer Care Associates | Internal Medicine | J2 Brier Hill Ct, East Brunswick, NJ 08816 | 2012-03-05 |
| 1205134533 | Valerie Hannah Shander | Nurse Practitioner | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2011-03-10 |
| 1437473246 | Central Jersey Oncology Center, Pa | Specialist | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2010-03-23 |
| 1912168097 | Michael J Rodia | Physician Assistant | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1790393247 | Caring Homecare LLC | Home Health | 723 Nj - 18, East Brunswick, NJ 08816 | 2020-07-21 |
| 1710527957 | Sophisticated Ventures LLC | Home Health | 197 Nj-18 South Suite 3000, East Brunswick, NJ 08816 | 2020-01-15 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1356805402 | Sr Plastic Surgery PC | Surgery | 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 | 2019-01-23 |
| 1083199012 | Kami Ives | Speech-Language Pathologist | 431 Cranbury Rd., East Brunswick, NJ 08816 | 2018-09-25 |
| 1316442460 | Emily Katherine Smith | Physician Assistant | 418 Route 18, East Brunswick, NJ 08816 | 2018-03-29 |
| 1942713649 | Apluscare, LLC | Community/Behavioral Health | 3105 Commons Dr, East Brunswick, NJ 08816 | 2017-11-16 |
| 1093234338 | Larissa Rachel Elk | Occupational Therapist | 11 Mayfair Court, East Brunswick, NJ 08816 | 2017-09-19 |
| Find all providers in zip 08816 | ||||
| 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 |
|---|---|---|---|---|
| 1982692851 | Bruno S Fang | Internal Medicine | Bldg J2, Brier Hill Court, East Brunswick, NJ 08816 | 2005-10-13 |
| 1093703969 | Phillip D Reid | Internal Medicine | Brier Hill Court, Bldg J2, East Brunswick, NJ 08816 | 2005-10-13 |
| 1518955491 | George I Karp | Internal Medicine | J2 Brier Hill Court, East Brunswick, NJ 08816 | 2005-10-13 |
| 1346840246 | Regional Cancer Care Associates LLC | Internal Medicine | Brier Hill Court, Building K2, East Brunswick, NJ 08816 | 2020-10-29 |
| 1235556531 | Mohammad H Kazemi | Internal Medicine | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2014-03-25 |
| 1821362146 | Regional Cancer Care Associates | Internal Medicine | J2 Brier Hill Ct, East Brunswick, NJ 08816 | 2012-03-05 |
| 1528125333 | Regional Cancer Care Associates LLC | Internal Medicine | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2007-01-02 |
| 1003828823 | Ellen A Ronnen | Internal Medicine | J2 Brier Hill Court, East Brunswick, NJ 08816 | 2006-08-12 |
| 1538139548 | Edward J Licitra | Internal Medicine | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2006-01-23 |
| 1467441352 | Michael J Nissenblatt | Internal Medicine | J2 Brier Hill Ct, East Brunswick, NJ 08816-3340 | 2005-10-14 |
| Find all providers in EAST BRUNSWICK | ||||
| City | EAST BRUNSWICK |
| Zip Code | 08816 |
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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.