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CENTRAL AVENUE PROFESSIONAL SERVICES, PC
NPI 1447649694
Internal Medicine - Critical Care Medicine in Newark, NJ

Active since January 12, 2015
111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5300(973) 877-5317 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2026, May 15, 2023 (2 updates tracked since 2023).

About Central Avenue Professional Services, Pc NPPES

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

CENTRAL AVENUE PROFESSIONAL SERVICES, PC (NPI 1447649694) is a healthcare organization registered as a critical care medicine in Newark, New Jersey and active in the NPI registry since January 2015. The organization maintains a secondary practice location in Newark and lists Syed Kazmi, Owner, as its authorized official.

NPPES Registry Identity

NPI1447649694
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameCENTRAL AVENUE PROFESSIONAL SERVICES, PC
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address111 Central AveNewark, NJ 07102-1909 · (973) 877-5300 · Fax (973) 877-5317
Phone(973) 877-5300
Fax(973) 877-5317
Organization SubpartNo
Authorized OfficialSyed KazmiOwner · (973) 877-5300
Enumeration DateJanuary 12, 2015
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1447649694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPodiatristTaxonomy 213E00000X
111 CENTRAL AVE, Newark, NJ 07102
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Other Names 1

Other NamePrime Healthcare

Secondary Practice Location 1

Location 1268 Dr Martin Luther King Jr BlvdNewark, NJ 07102-2011 · Phone (973) 877-2700

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 20

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

PAUL V SCOTT CRNA
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5043
DR. HOI-WING SUSANNA YIM M.D.
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. MONIQUE ALMOND ANTONIA PRINCE MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (929) 513-0312
KING EMERGENCY ASSOCIATES, P.A.
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. NITA MODI MD
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
GATEWAY EMERGENCY SERVICES PC
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Essex County (469) 401-2386
DR. CHRYSTINA MILDRED KIWAN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KHALED MOHAMMAD KHALED BANI YASEEN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (551) 250-3743

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 Central Avenue Professional Services, PC's NPI number?

The NPI number for Central Avenue Professional Services, PC is 1447649694. It was assigned to this organization in the NPPES registry on January 12, 2015. The provider is also known as Prime Healthcare.

Where is Central Avenue Professional Services, PC located?

Central Avenue Professional Services, PC is located at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5300.

What is Central Avenue Professional Services, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

What insurance does Central Avenue Professional Services, PC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Central Avenue Professional Services, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Avenue Professional Services, PC was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.