Organization Active NPI

Advantage Medical Consultants PC

  • Interventional Pain Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1750698478
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA08075700 Issued in NJ
Legal business name
ADVANTAGE MEDICAL CONSULTANTS PC
Practice address
631 Broadway
Bayonne, NJ 07002-3846
Phone
(201) 437-8600
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Dr. Chinweike Izeogu, MD
Title
Owner
Phone
(732) 224-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 25MA08075700 NJ Primary

Addresses

Primary practice location

631 Broadway
Bayonne, NJ 07002-3846

Mailing address

631 Broadway
Bayonne, NJ 07002-3846
Phone (201) 437-8600

Other names 1

  • Advantage Medical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

534 Avenue E
Ste 1D
Bayonne, NJ 07002
Phone (201) 437-8601

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1750698478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023846",
            "telephone_number": "201-437-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023846",
            "telephone_number": "201-437-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE MEDICAL CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "IZEOGU",
        "authorized_official_first_name": "CHINWEIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-224-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08075700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.