Organization
REGIONAL CANCER CARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRILL JORDAN (PRESIDENT/CEO)
(201) 510-0910
Entity
Organization
Contact information
Practice address
1 CLARA MAASS DR STE 200, BELLEVILLE, NJ 07109-3550
(973) 751-8880
(973) 751-8950
Mailing address
500 FRANK W BURR BLVD STE 560, TEANECK, NJ 07666-6804
(973) 751-8880
(973) 751-8950
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1078832
HORIZON NJ HEALTH
NJ
01
—
2138244
AETNA HMO
NJ
05
—
3036308
—
NJ
01
—
831711
UNITED HEALTHCARE
NJ
01
—
AETNA TRADITIONAL
8750231
NJ
01
—
AMERIHEALTH HMO
993839000
NJ
01
—
AMERIHEALTH PPO
880459
NJ
01
—
CI9695
RAILROAD MEDICARE
NJ
01
—
W5L541
EMPIREWELLCHOICE
NJ
Enumeration date
12/27/2006
Last updated
07/01/2024
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