Organization Active NPI

Excelcare Medical Associates, PA

  • Internal Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1992736300
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EXCELCARE MEDICAL ASSOCIATES, PA
Practice address
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone
(201) 833-3000
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Patricia Beniquez Pacheco
Title
Credentialing Supervisor
Phone
(201) 833-3599

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

718 Teaneck Rd
Teaneck, NJ 07666-4245

Mailing address

3 University PLZ Ste 205
Hackensack, NJ 07601-6208
Phone (201) 833-3599

Other identifiers 1

IdentifierTypeStateIssuer
1040197MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060727000044 NJ Part B Supplier - Clinic/Group Practice 4284647868 Receives reassigned benefits from 227 practitioners
Practice locations: Teaneck, NJ; Lyndhurst, NJ; Maywood, NJ; North Bergen, NJ; Oradell, NJ; Paramus, NJ; Ridgefield, NJ; Ridgefield Park, NJ…

National Provider Directory

National Provider Directory

Locations (25 of 67)

375 S Washington Ave
Ste 5
Bergenfield, NJ 07621

446 Hackensack St
Carlstadt, NJ 07072
Phone (201) 933-2370

574 Anderson Ave
Cliffside Park, NJ 07010
Phone (201) 943-4884

1005 Clifton Ave
#1
Clifton, NJ 07013

1005 Clifton Ave
Ste 205
Clifton, NJ 07013
Phone (862) 238-8100

341 Broad St
Clifton, NJ 07013
Phone (973) 461-3358

106 Grand Ave
Ste 450
Englewood, NJ 07631
Phone (201) 308-5591

106 Engle St Ste 450
Englewood, NJ 07631

177 N Dean St
Ste 305S
Englewood, NJ 07631

106 Grand Ave
Ste 405
Englewood, NJ 07631
Phone (201) 871-1515

464 Hudson Ter
Ste 101
Englewood Cliffs, NJ 07632
Phone (201) 567-7747

464 Hudson Ter
Ste 100
Englewood Cliffs, NJ 07632
Phone (201) 541-6800

25-15 Fair Lawn Ave
Ste 5
Fair Lawn, NJ 07410
Phone (201) 625-6494

17-15 Maple Ave
Fair Lawn, NJ 07410
Phone (201) 796-1200

4-14 Saddle River Rd
Ste 102
Fair Lawn, NJ 07410

143 Anderson Ave
Fairview, NJ 07022
Phone (201) 402-7802

175 Bergen Blvd
Ste 1
Fairview, NJ 07022

2500 Lemoine Ave
Ste 200
Fort Lee, NJ 07024
Phone (201) 592-9210

3 University Plz
Ste 205
Hackensack, NJ 07601

155 Polifly Rd
Ste 301
Hackensack, NJ 07601
Phone (201) 343-6360

50 Passaic St
Hackensack, NJ 07601
Phone (201) 487-3355

125 Hackensack Ave
Hackensack, NJ 07601

433 Hackensack Ave
#2
Hackensack, NJ 07601

395 Main St
Fl 1
Hackensack, NJ 07601
Phone (201) 646-0333

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

Practitioners & affiliated clinicians

Practitioners 262

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

View all 262

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1992736300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLZ STE 205",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016208",
            "telephone_number": "201-833-3599",
            "fax_number": "201-227-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELCARE MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BENIQUEZ PACHECO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "201-833-3599"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1040197",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.