Provider Demographics
NPI:1104042423
Name:ADVANCED CARE INC
Entity Type:Organization
Organization Name:ADVANCED CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BILAAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:ON FILE
Authorized Official - Phone:732-566-8504
Mailing Address - Street 1:334 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3205
Mailing Address - Country:US
Mailing Address - Phone:732-566-8504
Mailing Address - Fax:732-566-3513
Practice Address - Street 1:334 MAIN ST
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3205
Practice Address - Country:US
Practice Address - Phone:732-566-8504
Practice Address - Fax:732-566-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6334903Medicaid
NJ0449680001Medicare ID - Type Unspecified