Provider Type Icon

ADVOCARE PANORAMA MEDICAL NPI 1972102903


NPI Information

NPI: 1972102903
Provider Name: ADVOCARE PANORAMA MEDICAL

Doing Business As: ADVOCARE PANORAMA MEDICAL

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 31D2221384

Address:
1300 MAIN AVE FL 2
CLIFTON, NJ
ZIP 07011
Phone: (856) 334-5399
Get Directions

ADVOCARE PANORAMA MEDICAL is a clinic center in Clifton, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ADVOCARE PANORAMA MEDICAL NPI is 1972102903. The provider is registered as an organization entity type.
The provider Is Doing Business As Advocare Panorama Medical.

The provider's business location address is:

1300 MAIN AVE FL 2
CLIFTON, NJ
ZIP 07011-266
Phone: (856) 334-5399

The provider's authorized official is Charles Mcqueary .
The authorized official title is Coo and has the following contact phone number (856) 872-7052.

The CLIA number assigned to this NPI record is 31D2221384 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2020 and was last updated on 11/11/2020.


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
1261Q00000XClinic/CenterYes

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: 11/14/2023

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.