Center for Diagnosis and Treatment, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07504600 Issued in NJ

Legal business name

CENTER FOR DIAGNOSIS AND TREATMENT, LLC

Practice address

624 Newark Ave
Elizabeth, NJ 07208-3539

Phone

(908) 353-3626

Fax

(908) 353-3625

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Luis Marcelo Benalcazar, M.D.NPI 1801878269

Title

Medical Director

Phone

(908) 353-3626

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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

• Luis M Benalcazar, M.D.

  • Internal Medicine Physician
  • Elizabeth, NJ
  • NPI 1801878269
  Medicare reassignment NPD Authorized official
• Ada M Andino, RN, APN

  • Family Nurse Practitioner
  • Elizabeth, NJ
  • NPI 1609582741
  Medicare reassignment NPD
• Patricia Gonzalez, APN

  • Family Nurse Practitioner
  • Morristown, NJ
  • NPI 1083156996
  Medicare reassignment NPD
• Adanesa Molina

  • Adult Health Nurse Practitioner
  • Elizabeth, NJ
  • NPI 1205423134
  NPD
• Brian Adames

  • Physician Assistant
  • Elizabeth, NJ
  • NPI 1104227479
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1831213693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 NEWARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083539",
            "telephone_number": "908-353-3626",
            "fax_number": "908-353-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 NEWARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083539",
            "telephone_number": "908-353-3626",
            "fax_number": "908-353-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Fayette St",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088614161",
            "country_code": "US",
            "telephone_number": "732-293-3620",
            "fax_number": "732-293-3621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR DIAGNOSIS AND TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BENALCAZAR",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MARCELO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "908-353-3626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07504600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028410",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272388",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN RENDERING NUMBE",
            "identifier": "075232U87",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gyngear Emith Castro, LCSW
• Patrick Elliot Castro
• CB Housing Connections LLC
• Diego Fernando Cedano Rincon, MD
• Joseph Victor Celebre, P.T.
• Center for Holistic & Oriental Medicine
• Center for Hope Hospice
• Center of Advanced Pelvic Surgery
• Central Jersey Health Care Associates Inc
• Kristy Centrelli

• Internal Medicine Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.