Organization
REGIONAL CANCER CARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRILL JORDAN (PRESIDENT)
(201) 510-0910
Entity
Organization
Contact information
Practice address
40 BEY LEA RD STE A202, TOMS RIVER, NJ 08753-2900
(732) 367-1535
Mailing address
500 FRANK W BURR BLVD STE 560, TEANECK, NJ 07666-6804
(201) 510-0910
(551) 228-4528
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
291U00000X
Clinical Medical Laboratory
00042753
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5426600
—
NJ
Enumeration date
04/13/2006
Last updated
12/17/2025
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