Organization · NPI-2

Advanced Medical Center PC

Internal Medicine · Hackensack, NJ

NPI number1619849866
StatusActive
Last updated in NPPESSep 18, 2025

Details

NPI
1619849866
Entity type
Organization (NPI-2)
Legal business name
Advanced Medical Center PC
Organization subpart
No
Enumeration date
Sep 18, 2025
Certification date
Aug 21, 2025
Last updated
Sep 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
202K00000X Phlebology––
207LP2900X Anesthesiology, Pain Medicine––
2085U0001X Radiology, Diagnostic Ultrasound––
208VP0000X ––
213E00000X Podiatrist––

Practice location

126 State St Ste 2a
Hackensack, NJ 07601-5448

Phone 877-890-9906

Mailing address

126 State St Ste 2a
Hackensack, NJ 07601-5448

Phone 877-890-9906

Authorized official

Alexandr Zaitsev
President
8778909906

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