Provider Demographics
NPI:1740091032
Name:ALLEVATE MEDICAL GROUP LLC
Entity type:Organization
Organization Name:ALLEVATE MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MARKINTOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTHELEMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-508-0306
Mailing Address - Street 1:707 STATE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1434
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:707 STATE RD STE 105
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1434
Practice Address - Country:US
Practice Address - Phone:732-508-0306
Practice Address - Fax:732-360-6579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy