AMBULATORY CARE CENTER PA – NPI #1528024114
Clinic/Center

AMBULATORY CARE CENTER PA is an AHC clinic located in VINELAND, NJ. NPPES has assigned the NPI number 1528024114 to AMBULATORY CARE CENTER PA on April 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Jun 22, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMBULATORY CARE CENTER PA below.

NPI Profile for
AMBULATORY CARE CENTER PA

NPI Number
1528024114
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMBULATORY CARE CENTER PA
Primary location
1133 EAST CHESTNUT AVE.
VINELAND, NJ 08360
Phone: (856) 507-0800 Fax: (856) 507-0824
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MELISSA HERMANSON
ADMINISTRATOR
Phone: (856) 507-0800
Updated
Certification Date
Jun 22, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AMBULATORY CARE CENTER PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNJ7594305
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 NJ 22422

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.