ADVANCED MEDICINE PC NPI 1235378175

NPI Information

NPI: 1235378175
Provider Name: ADVANCED MEDICINE PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 31D2056428

Address:
186 COUNTY ROAD 520 STE 1
MORGANVILLE, NJ
ZIP 07751
Phone: (732) 851-4955
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ADVANCED MEDICINE PC is a primary care clinic center in Morganville, NJ. ADVANCED MEDICINE PC NPI is 1235378175. The provider is registered as an organization entity type.

The provider's business location address is:

186 COUNTY ROAD 520 STE 1
MORGANVILLE, NJ
ZIP 07751-246
Phone: (732) 851-4955
Fax: (509) 362-9699

The provider's authorized official is Ludmila Ridlovsky .
The authorized official title is President and has the following contact phone number (732) 851-4955.

The CLIA number assigned to this NPI record is 31D2056428 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2009 and was last updated on 11/27/2019.

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
1	261QP2300X	Clinic/Center	Primary Care	25 MA08292400	NEW JERSEY	Yes

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: 5/5/2024

NPI Synchronization or Removal

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