Active NPI
Advantage Medical Consultants PC
- Interventional Pain Medicine Physician
- Bayonne, NJ
National Provider Identifier
1750698478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 25MA08075700
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.