REGIONAL CANCER CARE ASSOCIATES LLC NPI 1275098022

NPI Information

  • NPI: 1275098022
  • Provider Name: REGIONAL CANCER CARE ASSOCIATES LLC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • CLIA Number: 31D0988202
  • Address: 75 VERONICA AVE STE 201
    SOMERSET, NJ
    ZIP 08873
  • Phone: (732) 246-4882

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NPI Details

REGIONAL CANCER CARE ASSOCIATES LLC is a hematology and oncology internal medicine in Somerset, NJ. The provider is 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. REGIONAL CANCER CARE ASSOCIATES LLC NPI is 1275098022. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

75 VERONICA AVE STE 201
SOMERSET, NJ
ZIP 08873-002
Phone: (732) 246-4882
Fax: (732) 249-5633

The provider's authorized official is Edward J Licitra .
The authorized official title is Managing Partner and has the following contact phone number (732) 390-7750.

The CLIA number assigned to this NPI record is 31D0988202 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2019 and was last updated on 2/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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