Organization Active NPI

Alpha Care Pediatrics, LLC

  • Primary Care Clinic/Center
  • Passaic, NJ
National Provider Identifier
1275949158
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0400671095 Issued in 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
Last updated
Jul 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Ifeoma Iwelumo, MD
Title
MD
Phone
(973) 471-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0400671095 NJ Primary

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

National Provider Directory

National Provider Directory

Locations

124 Gregory Ave
Ste 201
Passaic, NJ 07055
Phone (201) 471-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1275949158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GREGORY AVE",
            "address_2": "SUITE 201",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554856",
            "telephone_number": "973-471-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GREGORY AVE",
            "address_2": "SUITE 201",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554856",
            "telephone_number": "973-471-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA CARE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "IWELUMO",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-471-4440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "0400671095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.