Advanced Care Center
Organization Active NPI Internal Medicine Physician · Clifton, NJ
NPI 1255065660 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1255065660
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ADVANCED CARE CENTER
- Practice address
- 57 Lakeview Ave
Clifton, NJ 07011-4041 - Phone
- (347) 545-7962
- NPI assigned
- Jul 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Khaled Alalwani, MD
- Title
- Physician /Owner
- Phone
- (347) 545-7962
Practitioners 1
-
Khaled Alalwani, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220905000044 | NJ | Part B Supplier - Clinic/Group Practice | 8820472145 |
Receives reassigned benefits from 1 practitioner Practice locations: Clifton, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
57 Lakeview Ave
Clifton, NJ 07011-4041
Mailing address
57 Lakeview Ave
Clifton, NJ 07011-4041
Phone (347) 545-7962
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0574775 | Medicaid | NJ |
Other providers in Clifton, NJ
- Adult Family Health Services LLC
- Adult Family Health Services LLC
- Advance Ankle, Foot and Pain
- Advanced Anesthesia Care MD PC
- Advanced Behavioral Specialists, LLC
- Advanced Chiro Spine Center
- Advanced Interventional Pain Consultants, LLC
- Advanced Medical Associates, P.a.
- Advanced Rehabilitation and Wellness Center PC
- Advanced Surgery Center of Clifton, LLC
All providers in Clifton, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.