ADVANCED CARE ASSOCIATES LLC (NPI# 1033623178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033623178 |
| Entity Type | Organization |
| Organization Name | ADVANCED CARE ASSOCIATES LLC |
| Practice Address |
455 North End Avenue, Ground Floor Welness Center New York NY 10282-5383 |
| Mailing Address |
455 North End Ave Ground Fl New York NY 10282-5383 |
| Practice Telephone | 9292440658 |
| Mailing Telephone | 9179758707 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | ARCHANA MAINI (HEMATOLOGIST AND ONCOLOGIST) |
| Authorized Official Telephone | 9292440658 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ACA Pharmacy | Doing Business As Name - Organization |
| ADVANCED CARE ASSOCIATES LLC | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 455 North End Ave Ground Fl, New York, NY 10282 | 9179758707 | |
| 455 North End Avenue, Ground Floor, Welness Center, New York, NY 102825383 | 9179758707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619502127 | Advanced Care Associates LLC | Pharmacy | 2 Allen St Unit 5a, New York, NY 10002-5383 | 2020-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ADVANCED CARE ASSOCIATES LLC | 455 North End Ave Ground Fl, Wellness Center, New York, Ny 10282 |
| Street Address |
455 NORTH END AVENUE, GROUND FLOOR WELNESS CENTER |
| City | NEW YORK |
| State | NY |
| Zip Code | 10282-5383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457886160 | Hanifa M Cavanna | Nurse Practitioner | 200 N End Ave Apt 12d, New York, NY 10282 | 2017-05-01 |
| 1639546484 | Jennel Zeppieri | Student in an Organized Health Care Education/Training Program | 300 North End Aveune, New York, NY 10282 | 2015-08-27 |
| 1356604060 | Rachelle Celeste Kong | Occupational Therapist | 200 N End Ave Apt 3l, New York, NY 10282 | 2012-06-18 |
| 1114972676 | Jill Clibborn Booth | Occupational Therapist | 455 North End Ave, New York, NY 10282 | 2006-05-23 |
| 1184990707 | Janeth Bacus | Physical Therapist | 201 Warren Street, New York, NY 10282 | 2012-03-28 |
| 1700095106 | Billie Jean Bertrand | Exclusive Provider Organization | 200 West Street, 10th Floor, New York, NY 10282 | 2007-05-22 |
| 1649813569 | Cara Lee Macari | Social Worker | 20 River Ter Apt 18n, New York, NY 10282-0026 | 2019-10-23 |
| 1952677478 | Margaret Brefo | Registered Nurse | 345 Chambers St, Stuyvesant High School, New York, NY 10282-1000 | 2012-03-29 |
| 1700431426 | Soye Zaid-muhammad | Psychologist | 201 Warren St Ste 419, New York, NY 10282-1002 | 2019-08-08 |
| 1134352875 | Eric John Grispo | Specialist | 201 Warren St, New York, NY 10282-1002 | 2009-08-28 |
| Find all providers in zip 10282 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043738644 | Megan Greally | Internal Medicine | 303 East 60th Street Apartment 37e, New York, NY 10022 | 2017-09-03 |
| 1245625052 | Barbara Ting-wen Ma | Internal Medicine | 520 E 70th St Fl 3, New York, NY 10021-9800 | 2015-03-30 |
| 1639415995 | Neal M. Friedberg | Internal Medicine | 161 W 15th St, Apt 7g, New York, NY 10011-6720 | 2012-12-13 |
| 1255690350 | Aaron Cohen | Internal Medicine | 462 1st Ave Fl 4, New York, NY 10016 | 2012-05-09 |
| 1841500154 | Nevena Lucic | Internal Medicine | 520 East 70th Street Starr 341, New York, NY 10021-9800 | 2010-10-20 |
| 1881912657 | Agus Family Corp | Internal Medicine | 722 W 168th St Ste 1030, New York, NY 10032-3727 | 2010-05-04 |
| 1164681540 | Ali Mohammad Ameri | Internal Medicine | 215 E 95th Street, New York, NY 10128-4077 | 2008-06-02 |
| 1922274166 | Subhash C. Gulati, Md PC | Internal Medicine | 331 E 65th St, New York, NY 10065-6881 | 2008-05-07 |
| 1053586263 | Gunjan Lalitchandra Shah | Internal Medicine | 1275 York Ave # 298, New York, NY 10065-6007 | 2008-04-29 |
| 1982879797 | Victoria Susana Blinder | Internal Medicine | 300 East 66th Street, 8th Floor, New York, NY 10065 | 2008-04-23 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on ADVANCED CARE ASSOCIATES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.