Organization Active NPI

Advanced Medical Care of Hudson County LLC

  • Internal Medicine Physician
  • Union City, NJ
National Provider Identifier
1003993221
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADVANCED MEDICAL CARE OF HUDSON COUNTY LLC
Practice address
1610 Summit Ave
Union City, NJ 07087-1924
Phone
(201) 863-5696
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sameh EliasNPI 1417092172
Title
Owner
Phone
(201) 863-5696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1610 Summit Ave
Union City, NJ 07087-1924

Mailing address

3 Rubino Rd
West Caldwell, NJ 07006-8033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070313000181 NJ Part B Supplier - Clinic/Group Practice 3072616085 Receives reassigned benefits from 6 practitioners
Practice locations: Jersey City, NJ; North Bergen, NJ; Union City, NJ; West Caldwell, NJ; Hoboken, NJ

National Provider Directory

National Provider Directory

Locations

142 Palisade Ave
Ste 212
Jersey City, NJ 07306
Phone (201) 792-1555

1610 Summit Ave
Union City, NJ 07087
Phone (201) 863-5696

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1003993221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RUBINO RD",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070068033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 SUMMIT AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070871924",
            "telephone_number": "201-863-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL CARE OF HUDSON COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-863-5696",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.