Basic Information
| Provider Information | |||||||||
| NPI: | 1770527731 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AMERICARE MEDICAL ASSOCIATES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 445 WHITE HORSE AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | HAMILTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086101410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095851122 | ||||||||
| FaxNumber: | 6095850309 | ||||||||
| Practice Location | |||||||||
| Address1: | 445 WHITE HORSE AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | HAMILTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086101410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095851122 | ||||||||
| FaxNumber: | 6095850309 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2006 | ||||||||
| LastUpdateDate: | 12/23/2020 | ||||||||
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| AuthorizedOfficialLastName: | KHEDER | ||||||||
| AuthorizedOfficialFirstName: | ABDULHADY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6095851122 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 12/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.