Excellence Medical Care, PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

EXCELLENCE MEDICAL CARE, PC

Practice address

110 S Grove St FL 2
East Orange, NJ 07018-4102

Phone

(862) 520-5469

Fax

(201) 595-0320

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Magdalena Bryjak, BILLING MANAGER

Title

Billing Manager

Phone

(201) 456-7363

Specialties & licenses 1

Addresses

Other names 1

• Excellence Medical Care, PC Former legal business name

Practitioners 1

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

• Yasmeen Khan, MD

  • Anesthesiology Physician
  • Elizabeth, NJ
  • NPI 1295761294
  NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1013517044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074070211",
            "telephone_number": "862-520-5469",
            "fax_number": "201-595-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S GROVE ST FL 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070184102",
            "telephone_number": "862-520-5469",
            "fax_number": "201-595-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "BRYJAK",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "201-456-7363",
        "authorized_official_credential": "BILLING MANAGER"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellence Medical Care, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eta Trans
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• Evergreen East Orange, LLC
• Evergreen Spine & Rehabilitation Center, LLC
• Excelrehab & Healthcare Staffing
• Express Enterprise
• Expressions Behavioral Health Services
• Expressions Behavioral Health Services
• Edwine L Exume, NP

• Pain Medicine (Anesthesiology) Physician in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.