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REGIONAL CANCER CARE ASSOCIATES LLC NPI 1568737534


NPI Information

NPI: 1568737534
Provider Name: REGIONAL CANCER CARE ASSOCIATES LLC

Former Legal Business Name: NORTHERN NEW JERSEY CANCER ASSOCIATES

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 31D1018141

Address:
89 SPARTA AVE STE 130
SPARTA, NJ
ZIP 07871
Phone: (973) 726-0005
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REGIONAL CANCER CARE ASSOCIATES LLC is a hematology and oncology internal medicine in Sparta, NJ. The provider is 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. REGIONAL CANCER CARE ASSOCIATES LLC NPI is 1568737534. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Northern New Jersey Cancer Associates.

The provider's business location address is:

89 SPARTA AVE STE 130
SPARTA, NJ
ZIP 07871-791
Phone: (973) 726-0005
Fax: (973) 726-4668

The provider's authorized official is Terrill Jordan .
The authorized official title is President/ceo and has the following contact phone number (201) 510-0910.

The CLIA number assigned to this NPI record is 31D1018141 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/9/2012 and was last updated on 4/21/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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