Advance Healthcare Associates Llc | |
1806 Hwy 35 Ste 102 Oakhurst NJ 07755-2766 | |
(848) 200-3009 | |
(833) 795-1978 |
Full Name | Advance Healthcare Associates Llc |
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Speciality | Family Medicine |
Location | 1806 Hwy 35 Ste 102, Oakhurst, New Jersey |
Authorized Official Name and Position | Belen Assemu (NURSE PRACTITIONER) |
Authorized Official Contact | 8482003009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advance Healthcare Associates Llc 1806 Hwy 35 Ste 102 Oakhurst NJ 07755-2766 Ph: (848) 200-3009 | Advance Healthcare Associates Llc 1806 Hwy 35 Ste 102 Oakhurst NJ 07755-2766 Ph: (848) 200-3009 |
NPI Number | 1477211381 |
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Provider Enumeration Date | 12/08/2021 |
Last Update Date | 06/18/2022 |
Medicare PECOS PAC ID | 2668864463 |
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Medicare Enrollment ID | O20220127001295 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477211381 | NPI | - | NPPES |
1639589880 | Other | NJ | CMS |
1558923995 | Other | NJ | CMS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ayu B Kebede |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639589880 PECOS PAC ID: 5294052510 Enrollment ID: I20180103000773 |
Provider Name | Belen F Assemu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558923995 PECOS PAC ID: 0648604181 Enrollment ID: I20191217000075 |
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