Angelic Advance Support Coordinator

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

ANGELIC ADVANCE SUPPORT COORDINATOR

Practice address

399 2ND St Apt 3R
Jersey City, NJ 07302-2248

Phone

(319) 300-0095

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Neema John MushiNPI 1902768310

Title

Ceo

Phone

(319) 300-0095

Specialties & licenses 7

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neema John Mushi

  • Home Health Aide
  • Saint Louis, MO
  • NPI 1902768310
  NPD Authorized official

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701561600000",
    "number": "1346015427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CAMERON RD",
            "city": "EFFORT",
            "state": "PA",
            "postal_code": "183302301",
            "telephone_number": "319-464-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 2ND ST APT 3R",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022248",
            "telephone_number": "319-300-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC ADVANCE SUPPORT COORDINATOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "MUSHI",
        "authorized_official_first_name": "NEEMA",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-300-0095"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Andrade, LSW
• Nicholas Thomas Andriani, DO
• Angel's Care for Seniors
• Angelacares, Inc.
• Angeles L Luchayco MD PC
• Jason Angellano
• No Given Name Angelo, MD
• Mary Anighoro
• Arsany Sami Anis
• Anjali Choudhary LLC

• Supports Brokerage Agency in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Supports Brokerage Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; 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.