Alpha Care Pediatrics, LLC
Organization Active NPI Primary Care Clinic/Center · Passaic, NJ
NPI 1275949158 · NPPES record last updated Jul 11, 2014
Key facts
- NPI
- 1275949158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 0400671095 (NJ)
- Legal business name
- ALPHA CARE PEDIATRICS, LLC
- Practice address
- 124 Gregory Ave
Suite 201
Passaic, NJ 07055-4856 - Phone
- (973) 471-4440
- NPI assigned
- Jul 11, 2014
- Organization subpart
- No
Authorized official
- Name
- Ifeoma Iwelumo, MD
- Title
- MD
- Phone
- (973) 471-4440
Practitioners 1
-
Lauren Garcia, CPNP
National Provider Directory
Locations
124 Gregory Ave
Ste 201
Passaic, NJ 07055
Phone (201) 471-9800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 0400671095 | NJ | Yes |
Addresses
Primary practice location
124 Gregory Ave
Suite 201
Passaic, NJ 07055-4856
Mailing address
124 Gregory Ave
Suite 201
Passaic, NJ 07055-4856
Phone (973) 471-4440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6090303 | Medicaid | NJ |
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All providers in Passaic, NJ · Primary Care Clinic/Center 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 Jul 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.