Provider Demographics
NPI:1528333523
Name:REGIONAL CANCER CARE ASSOCIATES
Entity type:Organization
Organization Name:REGIONAL CANCER CARE ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:USHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIRANJAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-813-0790
Mailing Address - Street 1:108 BILBY RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4174
Mailing Address - Country:US
Mailing Address - Phone:908-813-0790
Mailing Address - Fax:908-813-8342
Practice Address - Street 1:108 BILBY RD
Practice Address - Street 2:SUITE 306
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4174
Practice Address - Country:US
Practice Address - Phone:908-813-0790
Practice Address - Fax:908-813-8342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-09
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6682390012Medicare NSC