REGIONAL CANCER CARE ASSOCIATES, L.L.C.


Address: 100 1st St, Suite 301, Hackensack, NJ 07601-2153
Phone: 2018830193

REGIONAL CANCER CARE ASSOCIATES, L.L.C. (NPI# 1265870331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265870331
Entity Type Organization
Organization Name REGIONAL CANCER CARE ASSOCIATES, L.L.C.
Practice Address 100 1st St
Suite 301
Hackensack
NJ 07601-2153
Practice Telephone 2018830193
Practice Fax Number 2018830175
Mailing Telephone 2018830193
Mailing Fax Number 2018830175
Enumeration Date 2013-06-11
Last Update Date 2015-03-12
Authorized Official Name MRS. KIM FORMICA (DIRECTOR REVENUE CYCLE)
Authorized Official Telephone 2018830193
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Office Location

Street Address 100 1ST ST
SUITE 301
City HACKENSACK
State NJ
Zip Code 07601-2153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780740522 Advance Housing, Inc. Community/Behavioral Health 100 1st St, Suite 203, Hackensack, NJ 07601-2153 2006-12-28
1912165820 Rebecca Pitman Registered Nurse 100 1st St, Suite 203, Hackensack, NJ 07601-2153 2008-05-28

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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255567285 Carrie Brooke Wasserman Internal Medicine 92 Second Street, Hackensack, NJ 07601 2009-06-04
1689770844 Stefan H. Faderl Internal Medicine 92 Second St., Hackensack, NJ 07601 2006-09-15
1790773356 David H Vesole Internal Medicine 92 2nd St, Hackensack, NJ 07601-2191 2005-10-07
1710231006 Kaushal Parikh Internal Medicine 92 2nd St, Hackensack, NJ 07601-2191 2012-11-08
1689937740 Sukhdeep Kaur Internal Medicine 92 2nd St, Hackensack, NJ 07601-2191 2012-06-22
1306102934 Andrew C. Ip Internal Medicine 92 2nd St, Hackensack, NJ 07601-2191 2012-04-09
1972746394 Lori Ann Leslie Internal Medicine 92 2nd St, Hackensack, NJ 07601-2191 2009-04-15
1407098452 Hyung Chan Suh Internal Medicine 92 2nd St, Hackensack, NJ 07601-2191 2009-04-06
1730321662 Tracy Ann Proverbs-singh Internal Medicine 92 2nd St, Hackensack, NJ 07601-2191 2009-03-24
1992951149 James Kevin Mccloskey II Internal Medicine 92 2nd St, Hackensack, NJ 07601-2191 2008-08-07
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Competitor

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City HACKENSACK
Zip Code 07601

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Dataset Information

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.

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