Active NPI
Advanced Medicine PC
- Primary Care Clinic/Center
- Morganville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 25 MA08292400
- Legal business name
- ADVANCED MEDICINE PC
- Practice address
- 186 County Road 520 Ste 1
Morganville, NJ 07751-1246 - Phone
- (732) 851-4955
- Fax
- (509) 362-9699
- NPI assigned
- Feb 17, 2009
- 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
- Dr. Ludmila Ridlovsky, MD
- Title
- President
- Phone
- (732) 851-4955
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 25 MA08292400 | NJ | Primary |
Addresses
Primary practice location
186 County Road 520 Ste 1
Morganville, NJ 07751-1246
Mailing address
225 Gordons Corner Rd Ste 1H
Manalapan, NJ 07726-3342
Phone (732) 851-4955
Other practice location 1
225 Gordons Corner Rd Ste 1H
Manalapan, NJ 07726-3342
Phone (732) 851-4955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2056428 | Advanced Medicine PC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
225 Gordons Corner Rd
Ste 1H
Manalapan, NJ 07726
Phone (732) 851-4955
21 Kilmer Dr
Ste A
Morganville, NJ 07751
Phone (732) 617-0033
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBAIAA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Morganville, NJ
- NPI 1780878181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718150400000",
"number": "1235378175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 GORDONS CORNER RD STE 1H",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077263342",
"telephone_number": "732-851-4955",
"fax_number": "732-851-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 COUNTY ROAD 520 STE 1",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511246",
"telephone_number": "732-851-4955",
"fax_number": "509-362-9699"
}
],
"practiceLocations": [
{
"address_1": "225 Gordons Corner Rd Ste 1H",
"address_purpose": "LOCATION",
"city": "Manalapan",
"state": "NJ",
"postal_code": "077263342",
"country_code": "US",
"telephone_number": "732-851-4955",
"fax_number": "732-851-4957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADVANCED MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-17",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A",
"authorized_official_last_name": "RIDLOVSKY",
"authorized_official_first_name": "LUDMILA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-851-4955",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NJ",
"license": "25 MA08292400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.