Inadvance Medicine Associates East
Organization Active NPI Community Health Worker · Clark, NJ
NPI 1912867417 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1912867417
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Worker 172V00000X
- Legal business name
- INADVANCE MEDICINE ASSOCIATES EAST
- Practice address
- 57 Brant Avenue
Suite 100
Clark, NJ 07066 - Phone
- (877) 358-8648
- Fax
- (877) 877-6875
- NPI assigned
- Nov 17, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker |
172V00000X | Yes |
Addresses
Primary practice location
57 Brant Avenue
Suite 100
Clark, NJ 07066
Mailing address
4343 East Outlier Blvd.
Suite 100W
Phoenix, AZ 85008-6507
Phone (877) 358-8648
Other names
- Passport Health
Other providers in Clark, NJ
- Janae Hunter
- Rubaba Hussain
- Cheng-Hong Hwang
- Kareem Ibrahim
- Waleed Ijaz
- Anthony J Inverno
- Nancy Ismail
- Its All Behavior LLC
- Ivn Dental LLC
- Mary Jackson
All providers in Clark, NJ · Community Health Worker in New Jersey
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.