REGIONAL CANCER CARE ASSOCIATES LLC (NPI# 1508319039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508319039 |
| Entity Type | Organization |
| Organization Name | REGIONAL CANCER CARE ASSOCIATES LLC |
| Other Organization Name | NORTHERN NEW JERSEY CANCER ASSOCIATES |
| Practice Address |
34-36 Progress St Suite B-2 Edison NJ 08820-1197 |
| Mailing Address |
J2 Brier Hill Ct East Brunswick NJ 08816-3340 |
| Practice Telephone | 9087579696 |
| Practice Fax Number | 9087579721 |
| Mailing Telephone | 7323907750 |
| Mailing Fax Number | 7322541048 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | EDWARD J LICITRA (CHAIRMAN) |
| Authorized Official Telephone | 7323907750 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE NSC DMERC# | 6682390022 | 01 |
| 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 |
| 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 |
| Virginia Business Entities | REGIONAL CANCER CARE ASSOCIATES LLC | 25 Main St Ste 601, Hackensack, New Jersey 07601 |
| Street Address |
34-36 PROGRESS ST SUITE B-2 |
| City | EDISON |
| State | NJ |
| Zip Code | 08820-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558304782 | Robert Czyzewski | Specialist | 34-36 Progress St, Suite A-7, Edison, NJ 08820-1197 | 2006-06-14 |
| 1457768038 | Meghal Patel | Obstetrics & Gynecology | 34-36 Progress St, Suite A6, Edison, NJ 08820-1197 | 2014-07-16 |
| 1144633371 | Edison Family Dental Care L.l.c | Dentist | 34-36 Progress St, Suite B-6, Edison, NJ 08820-1197 | 2014-06-05 |
| 1447661491 | Diamond Braces Edison | Dentist | 34-36 Progress St, Suite A4, Edison, NJ 08820-1197 | 2014-05-13 |
| 1871914481 | Ronald Cha | Clinical Nurse Specialist | 34-36 Progress St, Suite A-7, Edison, NJ 08820-1197 | 2013-12-27 |
| 1295860773 | Edison Neurologic Associates | Psychiatry & Neurology | 34-36 Progress St, Suite B-3, Edison, NJ 08820-1197 | 2007-02-23 |
| 1063588481 | Richard A Gan | Psychiatry & Neurology | 34-36 Progress St, B-3, Edison, NJ 08820-1197 | 2006-11-28 |
| 1184724957 | Eric Daiter | Obstetrics & Gynecology | 34-36 Progress St, Suite B4, Edison, NJ 08820-1197 | 2006-09-22 |
| 1659487858 | Atul V Patel | Obstetrics & Gynecology | 34-36 Progress St, St # A6, Edison, NJ 08820-1197 | 2006-08-21 |
| 1174539373 | Radha Kumar | Internal Medicine | 34-36 Progress St, Suite A-2, Edison, NJ 08820-1197 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
| 1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
| 1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
| 1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
| 1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
| Find all providers in zip 08820 | ||||
| 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 |
|---|---|---|---|---|
| 1760595516 | Brian F Canavan | Internal Medicine | 34-36 Progress Street, Suite B2, Edison, NJ 08820 | 2006-08-16 |
| 1356357479 | Arvind Kumar | Internal Medicine | 2177 Oak Tree Road, Suite 104, Edison, NJ 08820 | 2006-07-31 |
| 1952344277 | Richard M Schuman | Internal Medicine | 34 36 Progress St, Suite B2, Edison, NJ 08820 | 2006-06-14 |
| 1649256066 | Bruce Harris Wallach | Internal Medicine | 34-36 Progress St., Suite B-2, Edison, NJ 08820 | 2005-12-17 |
| 1972505311 | Beaula V Koduri | Internal Medicine | 2110 Oak Tree Road, Edison, NJ 08820-3626 | 2005-08-15 |
| 1053318063 | Juhee Gupta | Internal Medicine | 35-37 Progress St Ste A1, Edison, NJ 08820-1179 | 2005-07-05 |
| 1831408418 | In Young Chung, M.d., P.a. | Internal Medicine | 4 Progress St, Suite A-7, Edison, NJ 08820-1199 | 2010-09-30 |
| 1538395637 | Hematology Oncology Consultants LLC | Internal Medicine | 2110 Oak Tree Road, Edison, NJ 08820-3626 | 2009-06-03 |
| 1083872436 | Garden State Oncology,p.c. | Internal Medicine | 2 Ethel Rd, Suite 206 B, Edison, NJ 08817-2839 | 2008-06-01 |
| 1639388028 | Middlesex Oncology Pa | Internal Medicine | 34-36 Progress Street, Suite B2, Edison, NJ 08820 | 2007-05-22 |
| Find all providers in EDISON | ||||
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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.