Provider Type Icon

A1 MEDICAL CARE PC NPI 1154662153


NPI Information

NPI: 1154662153
Provider Name: A1 MEDICAL CARE PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
310 CENTRAL AVE
SUITE 310
EAST ORANGE, NJ
ZIP 07018
Phone: (973) 678-2900
Get Directions

A1 MEDICAL CARE PC is a primary care clinic center in East Orange, NJ. A1 MEDICAL CARE PC NPI is 1154662153. The provider is registered as an organization entity type.

The provider's business location address is:

310 CENTRAL AVE
SUITE 310
EAST ORANGE, NJ
ZIP 07018-835
Phone: (973) 678-2900
Fax: (973) 678-8183

The provider's authorized official is Radhika Maddali .
The authorized official title is Owner and has the following contact phone number (973) 678-2900.

The enumeration date for this NPI number is 3/15/2013 and was last updated on 3/15/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care25MA07474500NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I11850MEDICARE UPINNEW JERSEY
2081474MEDICARE PINNEW JERSEY
30105481MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.