| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 06/18/2022 |
| Medicare PECOS PAC ID | 2668864463 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639589880 PECOS PAC ID: 5294052510 Enrollment ID: I20180103000773 |
| Provider Name | Belen F Assemu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558923995 PECOS PAC ID: 0648604181 Enrollment ID: I20191217000075 |
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