ALPHA CARE PEDIATRICS LLC NPI 1275949158

NPI Information

NPI: 1275949158
Provider Name: ALPHA CARE PEDIATRICS, LLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 124 GREGORY AVE
SUITE 201
PASSAIC, NJ
ZIP 07055
Phone: (973) 471-4440

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NPI Details

ALPHA CARE PEDIATRICS, LLC is a primary care clinic center in Passaic, NJ. ALPHA CARE PEDIATRICS, LLC NPI is 1275949158. The provider is registered as an organization entity type.

The provider's business location address is:

124 GREGORY AVE
SUITE 201
PASSAIC, NJ
ZIP 07055-856
Phone: (973) 471-4440

The provider's authorized official is Ifeoma Iwelumo .
The authorized official title is Md and has the following contact phone number (973) 471-4440.

The enumeration date for this NPI number is 7/11/2014 and was last updated on 7/11/2014.

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	0400671095	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6090303	MEDICAID	NEW 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: 11/21/2025

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