Inadvance Medicine Associates East
Organization Active NPI Community Health Worker · Hoboken, NJ
NPI 1770912974 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1770912974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Worker 172V00000X
- Legal business name
- INADVANCE MEDICINE ASSOCIATES EAST
- Practice address
- 70 Hudson Street
Suite 3-C
Hoboken, NJ 07030-5603 - Phone
- (844) 358-8648
- Fax
- (877) 877-6875
- NPI assigned
- Nov 7, 2013
- Organization subpart
- No
Authorized official
- Name
- Juana Slack
- Title
- Medical Billing Specialist
- Phone
- (480) 646-9086
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Passport Health Holdings LLC
Locations
70 Hudson St
Ste 4C
Hoboken, NJ 07030
70 Hudson St
Ste 3C
Hoboken, NJ 07030
Phone (201) 653-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker |
172V00000X | Yes | ||
| Public Health & General Preventive Medicine Physician |
2083P0901X | |||
| Clinic/Center | 261Q00000X | NJ | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
70 Hudson Street
Suite 3-C
Hoboken, NJ 07030-5603
Mailing address
4343 East Outlier Blvd.
Suite 100W
Phoenix, AZ 85008-6507
Phone (844) 358-8648
Other names
- Passport Health
NPI Registry JSON
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1770912974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 EAST OUTLIER BLVD.",
"address_2": "SUITE 100W",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086507",
"telephone_number": "844-358-8648",
"fax_number": "877-877-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 HUDSON STREET",
"address_2": "SUITE 3-C",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305603",
"telephone_number": "844-358-8648",
"fax_number": "877-877-6875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INADVANCE MEDICINE ASSOCIATES EAST",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-07",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "SLACK",
"authorized_official_first_name": "JUANA",
"authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
"authorized_official_telephone_number": "480-646-9086"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Passport Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.