ADVANCED MEDICINE PC NPI 1235378175

NPI Information

  • NPI: 1235378175
  • Provider Name: ADVANCED MEDICINE PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 31D2056428
  • Address: 186 COUNTY ROAD 520 STE 1
    MORGANVILLE, NJ
    ZIP 07751
  • Phone: (732) 851-4955

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NPI Details

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 6/12/2024.

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
1261QP2300XClinic/CenterPrimary Care25 MA08292400NEW JERSEYYes

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: 11/21/2025

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