Active NPIOrganization

Central Avenue Professional Services, PC

Internal Medicine, Critical Care Medicine in Newark, New Jersey

NPI Number1447649694
Practice location
111 Central Ave, Newark, NJ 07102-1909
Fax
973-877-5317
Last updated
June 18, 2026

Central Avenue Professional Services, PC is a healthcare organization based in Newark, NJ. Central Avenue Professional Services, PC practices in Newark, NJ. The NPI Number for Central Avenue Professional Services, PC is 1447649694. The current practice location address for Central Avenue Professional Services, PC is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5300 and via fax at 973-877-5317.

Provider Profile Details

NPI Number
1447649694
Provider Name
Central Avenue Professional Services, PC
Provider Entity Type
Organization
Address
111 Central Ave, Newark, NJ 07102-1909
Phone Number
973-877-5300
Fax Number
973-877-5317
Primary Taxonomy
Internal Medicine, Critical Care Medicine · 207RC0200X
Organization Subpart
No
Authorized Official
Dr. Syed Kazmi, MD · Owner · 973-877-5300
Other Names
Prime Healthcare (Other Name)
Provider Enumeration Date
January 12, 2015
Last Update Date
June 18, 2026
Certification Date
June 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5300
Fax Number
973-877-5317
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
111 Central Ave
Newark, NJ 07102-1909
City
Newark
State
NJ
Zip
07102-1909
Phone Number
973-877-5300
Fax Number
973-877-5317

License Information

Taxonomy (1)
Surgery · 208600000X
Taxonomy (2)
Podiatrist · 213E00000X
Taxonomy (4)
Internal Medicine, Critical Care Medicine · 207RC0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Central Avenue Professional Services, PC?

The NPI number of Central Avenue Professional Services, PC is 1447649694. It was assigned on January 12, 2015 and is currently active in the NPPES registry.

What is the specialty of Central Avenue Professional Services, PC?

Central Avenue Professional Services, PC is registered under the primary taxonomy Internal Medicine, Critical Care Medicine (code 207RC0200X).

Where does Central Avenue Professional Services, PC practice?

The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5300 (phone) or 973-877-5317 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447649694 directly on the NPPES registry website.

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