REGIONAL CANCER CARE ASSOCIATES LLC (NPI# 1518232586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518232586 |
| Entity Type | Organization |
| Organization Name | REGIONAL CANCER CARE ASSOCIATES LLC |
| Other Organization Name | NORTHERN NEW JERSEY CANCER ASSOCIATES |
| Practice Address |
210 S Shore Rd Suite 106 Marmora NJ 08223-1200 |
| Mailing Address |
25 Main St Ste 502 Hackensack NJ 07601-7082 |
| Practice Telephone | 6093907888 |
| Practice Fax Number | 6093902614 |
| Mailing Telephone | 2015100910 |
| Mailing Fax Number | 2018808774 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2019-07-29 |
| Authorized Official Name | JULIANNE CHILDS (MANAGING PARTNER) |
| Authorized Official Telephone | 6093907888 |
| Authorized Official Credential | DO |
| 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 |
| 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 |
210 S SHORE RD SUITE 106 |
| City | MARMORA |
| State | NJ |
| Zip Code | 08223-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891782371 | Hemang U Dave | Internal Medicine | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2005-09-30 |
| 1932750239 | Amanda Sue Brozoskie | Nurse Practitioner | 210 S Shore Rd, Marmora, NJ 08223-1200 | 2019-09-27 |
| 1578919460 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 210 S Shore Rd, Suite 201, Marmora, NJ 08223-1200 | 2016-05-10 |
| 1720472319 | Kimberly Nell | Nurse Practitioner | 210 S Shore Rd, Ste 106, Marmora, NJ 08223-1200 | 2015-03-23 |
| 1407256498 | Rachel Nicole Hiester | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2014-08-27 |
| 1346512621 | Annie A. Farrow | Nurse Practitioner | 210 S Shore Rd, Ste. 106, Marmora, NJ 08223-1200 | 2012-02-02 |
| 1740410562 | Tiffany N Spoltore | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2009-07-15 |
| 1467638734 | Ritchie Michael Carroll | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2008-01-16 |
| 1871699256 | Kathryn Lego Wilkin | Nurse Practitioner | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2006-09-15 |
| 1497768337 | Patrick S Eye | Nurse Practitioner | 210 S Shore Rd, Suite 201, Marmora, NJ 08223-1200 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909663 | Elizabeth Flores | Social Worker | 507 Route 9 South, Unit 10, Marmora, NJ 08223 | 2018-04-09 |
| 1790074607 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 Us Route 9 South, Marmora, NJ 08223 | 2011-03-31 |
| 1306080825 | Village Super Market of Nj L P | Pharmacy | 4 West Roosevelt Ave, Marmora, NJ 08223 | 2009-04-28 |
| 1518165943 | Fahd Rahman | Internal Medicine | 210 South Shore Road. Suite 106, Hope Community Cancer Center, Marmora, NJ 08223 | 2007-07-06 |
| 1285664615 | Melissa Hutchison | Family Medicine | 210 S. Shore Road, Marmora, NJ 08223 | 2006-07-03 |
| 1497844534 | Ellen T Demoulin | Chiropractor | 52 Tuckahoe Rd, Marmora, NJ 08223 | 2006-10-12 |
| 1154746873 | Rachel Hunter | Occupational Therapist | 23 Ocean Ave, Marmora, NJ 08223-1007 | 2014-03-04 |
| 1588825657 | Gretchen Bridget Sheppard | Licensed Practical Nurse | 204 Seaside Ave, Marmora, NJ 08223-1033 | 2008-06-22 |
| 1093379646 | Laura Kathleen Verzi-aleszczyk | Behavioral Analyst | 612 Stagecoach Rd, Marmora, NJ 08223-1107 | 2019-04-30 |
| 1003820622 | Atlanticare Physician Group | Clinic/Center | 210 Route Us 9 S, Suite 201, Marmora, NJ 08223-1200 | 2006-07-28 |
| Find all providers in zip 08223 | ||||
| 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 |
|---|---|---|---|---|
| 1649558586 | Tiffany Pompa | Internal Medicine | 210 S Shore Rd Ste 106, Marmora, NJ 08223-1271 | 2011-07-26 |
| 1518165943 | Fahd Rahman | Internal Medicine | 210 South Shore Road. Suite 106, Hope Community Cancer Center, Marmora, NJ 08223 | 2007-07-06 |
| 1891782371 | Hemang U Dave | Internal Medicine | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2005-09-30 |
| 1114914694 | Hope Community Cancer Center, LLC | Internal Medicine | 210 S. Shore Rd., Ste 102-106, Marmora, NJ 08223-1271 | 2005-09-30 |
| 1629065982 | Kaleem Ahmad | Internal Medicine | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2005-10-03 |
| 1639166101 | Julianne W Childs | Internal Medicine | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2005-09-30 |
| 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 |
| 1801451679 | Coastal Hematology & Oncology Center Professional Corporation | Internal Medicine | 143 Route 70, Toms River, NJ 08755-0971 | 2019-05-07 |
| 1275098022 | Regional Cancer Care Associates LLC | Internal Medicine | 75 Veronica Ave Ste 201, Somerset, NJ 08873-5002 | 2019-02-06 |
| 1194249565 | Mohammed Ali Jaloudi | Internal Medicine | 104 Adams Ct, Edgewater, NJ 07020-1651 | 2017-07-27 |
| 1720454564 | Community Cancer Centers of America LLC | Internal Medicine | 691 State Highway 33, Trenton, NJ 08619 | 2015-08-17 |
| 1194121152 | New Era Hemonc LLC | Internal Medicine | 473 Broadway Ste 411, Bayonne, NJ 07002-3667 | 2014-11-18 |
| 1790188050 | Vadim Zarubin | Internal Medicine | 377 Jersey Ave Ste 160, Jersey City, NJ 07302-4397 | 2014-10-01 |
| 1932501350 | Hematology Oncology Consultants LLC | Internal Medicine | 3086 Rt 27, Suite #8, Kendall Park, NJ 08824-1658 | 2014-09-17 |
| 1497095053 | Regional Cancer Care Associates | Internal Medicine | 30 Rehill Ave Fl 2, Suite 2500, Somerville, NJ 08876-2500 | 2013-02-19 |
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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.