NPI Code Details Logo

NPI 1346840246

NPI 1346840246 : REGIONAL CANCER CARE ASSOCIATES LLC : EAST BRUNSWICK, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1346840246
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    REGIONAL CANCER CARE ASSOCIATES LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/29/2020
-----------------------------------------------------
    Last Update Date     |    10/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    BRIER HILL COURT BUILDING K2
-----------------------------------------------------
    City                 |    EAST BRUNSWICK
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08816
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    844-683-6443
-----------------------------------------------------
    Fax                  |    732-390-0350
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    500 FRANK W BURR BLVD STE 560 
-----------------------------------------------------
    City                 |    TEANECK
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07666-6804
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-510-0910
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CREDENTIALING MANAGER
-----------------------------------------------------
    Name                 |     SHELLEY  INFELD 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    201-510-0901
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RH0003X
-----------------------------------------------------
    Taxonomy Name        |    Hematology & Oncology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.