| Akkc Medicine Llc | |
|
364 Lafayette Ave Hawthorne NJ 07506-2545 | |
| (973) 595-8800 | |
| Not Available |
| Full Name | Akkc Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 364 Lafayette Ave, Hawthorne, New Jersey |
| Authorized Official Name and Position | Krystle Chua (PARTNER/OWNER) |
| Authorized Official Contact | 9738207700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Akkc Medicine Llc 364 Lafayette Ave Hawthorne NJ 07506-2545 Ph: (973) 595-8800 | Akkc Medicine Llc 364 Lafayette Ave Hawthorne NJ 07506-2545 Ph: (973) 595-8800 |
| NPI Number | 1093366684 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 05/21/2025 |
| Medicare PECOS PAC ID | 2466886742 |
|---|---|
| Medicare Enrollment ID | O20191219000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093366684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Amr Kahf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326257668 PECOS PAC ID: 6204975634 Enrollment ID: I20091125000010 |
| Provider Name | Krystle Chua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366882474 PECOS PAC ID: 5698044162 Enrollment ID: I20170627002492 |
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