NPIMap

Organization Active NPI

Advanced Internal Care of Central Jersey

  • Clinic/Center
  • South Plainfield, NJ
National Provider Identifier
1346439296
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MA069694 Issued in NJ
Legal business name
ADVANCED INTERNAL CARE OF CENTRAL JERSEY
Practice address
906 Oak Tree Ave Ste a
South Plainfield, NJ 07080-5127
Phone
(559) 840-5395
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Jong Y Moon, M.DNPI 1598753956
Title
Owner
Phone
(559) 840-5395

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
Clinic/Center 261Q00000X MA069694 NJ Primary

Addresses

Primary practice location

906 Oak Tree Ave Ste a
South Plainfield, NJ 07080-5127

Mailing address

1230 E Champlain Dr Apt 104
Fresno, CA 93720-5067
Phone (559) 840-5395

National Provider Directory

National Provider Directory

Locations

906 Oak Tree Ave
Ste A
South Plainfield, NJ 07080
Phone (559) 840-5395

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1346439296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E CHAMPLAIN DR APT 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205067",
            "telephone_number": "559-840-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 OAK TREE AVE STE A",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805127",
            "telephone_number": "559-840-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERNAL CARE OF CENTRAL JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-840-5395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MA069694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.