Active NPI
Advance Care Partners
- Internal Medicine Physician
- Glen Allen, VA
National Provider Identifier
1003398264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ADVANCE CARE PARTNERS
- Practice address
- 4990 Sadler PL # 2550
Glen Allen, VA 23060-6122 - Phone
- (804) 334-3802
- NPI assigned
- Sep 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Niraj Patel
- Title
- Authorized Official
- Phone
- (804) 608-6012
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Emergency Medicine Physician | 207P00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X |
Addresses
Primary practice location
4990 Sadler PL # 2550
Glen Allen, VA 23060-6122
Mailing address
PO Box 2550
Glen Allen, VA 23058-2550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655683200000",
"number": "1003398264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2550",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230582550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4990 SADLER PL # 2550",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606122",
"telephone_number": "804-334-3802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCE CARE PARTNERS",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-04",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "NIRAJ",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "804-608-6012"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.