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PARK AVE MEDICAL CENTRE LLC
NPI 1447533773
Internal Medicine in Clifton, NJ

Active since September 22, 2011CLIA 31D2050272 · Waiver
535 GETTY AVE, SUITE 3, CLIFTON, NJ 07011(862) 239-4808 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Park Ave Medical Centre Llc NPPES

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

PARK AVE MEDICAL CENTRE LLC (NPI 1447533773) is a healthcare organization registered as an internal medicine in Clifton, New Jersey and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Rafath K Humera, Sole Propreiter, as its authorized official.

NPPES Registry Identity

NPI1447533773
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePARK AVE MEDICAL CENTRE LLC
Location Address535 GETTY AVE, SUITE 3Clifton, NJ 07011-2105
Mailing Address1367 Ratzer RdWayne, NJ 07470-2429 · (862) 239-4808
Phone(862) 239-4808
Organization SubpartNo
Authorized OfficialRafath K HumeraSole Propreiter · (862) 239-4808
Enumeration DateSeptember 22, 2011
✔ NPI 1447533773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08760600
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
535 GETTY AVE, Clifton, NJ 07011
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2050272

Park Avenue Medical Center · Clifton, NJ
Active · expires Nov 25, 2026
CLIA Number31D2050272
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorRafath K. Humera
Laboratory Phone(973) 782-4905
Laboratory LocationPark Avenue Medical Center535 Getty Avenue, Suite 3, Clifton, NJ 07011
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAFATH KHATOON HUMERA M.D
Internal Medicine
535 GETTY AVE, SUITE-3(PARK AVE MEDICAL CENTER)
CLIFTON, NJ 07011
Passaic County (973) 782-4905

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 Park Ave Medical Centre LLC's NPI number?

The NPI number for Park Ave Medical Centre LLC is 1447533773. It was assigned to this organization in the NPPES registry on September 22, 2011.

Where is Park Ave Medical Centre LLC located?

Park Ave Medical Centre LLC is located at 535 Getty Ave Suite 3, Clifton, NJ 07011. The listed phone number is (862) 239-4808.

What is Park Ave Medical Centre LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Park Ave Medical Centre LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2050272) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Ave Medical Centre LLC was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.