Organization Active NPI

Advanced Medicine PC

  • Primary Care Clinic/Center
  • Morganville, NJ
National Provider Identifier
1235378175
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25 MA08292400 Issued in NJ
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

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Ludmila Ridlovsky, MDNPI 1780878181
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20090304000143 NJ Part B Supplier - Clinic/Group Practice 6709942550 Receives reassigned benefits from 1 practitioner
Practice locations: Morganville, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2056428Advanced Medicine PC225 Gordons Corner Rd, Manalapan, NJ 07726Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.