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CLINTON AVENUE COMMUNITY CARE CENTER PC
NPI 1437945946
Family Medicine in Hackettstown, NJ

Active since April 19, 2025
1577 ROUTE 517, HACKETTSTOWN, NJ 07840(973) 672-8573 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clinton Avenue Community Care Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON AVENUE COMMUNITY CARE CENTER PC (NPI 1437945946) is a healthcare organization registered as a family medicine in Hackettstown, New Jersey and active in the NPI registry since April 2025. The organization lists Luz Capcha, Chief Revenue Officer & Vbc, as its authorized official.

NPPES Registry Identity

NPI1437945946
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLINTON AVENUE COMMUNITY CARE CENTER PC
Location Address1577 ROUTE 517Hackettstown, NJ 07840-2708
Mailing Address613 Park AveEast Orange, NJ 07017-1905 · (973) 672-2455 · Fax (973) 675-0040
Phone(973) 672-8573
Organization SubpartNo
Authorized OfficialLuz CapchaChief Revenue Officer & Vbc · (973) 672-2455
Enumeration DateApril 19, 2025
NPPES CertifiedApril 19, 2025
✔ NPI 1437945946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1577 ROUTE 517, Hackettstown, NJ 07840
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinton Avenue Community Care Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Clinton Avenue Community Care Center PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Amanda Marino, MD
Family Practice
NPI 1508240441
110 REHILL AVE
Somerville, NJ 08876
(908) 686-2900
✔ PECOS✔ Accepts Medicare26 mi
Alexander Salerno, MD
Internal Medicine
NPI 1962476903
613 PARK AVE
East Orange, NJ 07017
(973) 672-8573
✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Avenue Community Care Center PC's NPI number?

The NPI number for Clinton Avenue Community Care Center PC is 1437945946. It was assigned to this organization in the NPPES registry on April 19, 2025.

Where is Clinton Avenue Community Care Center PC located?

Clinton Avenue Community Care Center PC is located at 1577 Route 517, Hackettstown, NJ 07840. The listed phone number is (973) 672-8573.

What is Clinton Avenue Community Care Center PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Clinton Avenue Community Care Center PC enrolled in Medicare?

Yes. Clinton Avenue Community Care Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinton Avenue Community Care Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clinton Avenue Community Care Center PC, in Family Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clinton Avenue Community Care Center PC was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.