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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: October 18, 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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Avenue Professional Services, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

120

Medicare enrollment records show 120 clinicians reassign Medicare billing to Central Avenue Professional Services, PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 56 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Diagnostic Radiology26
Internal Medicine25
General Surgery7
Nurse Practitioner7
Cardiovascular Disease (Cardiology)6
Infectious Disease6
Urology6
Gastroenterology4
15 other specialties33

Nearest to this location (20)

See all 120
Mohammad Abushanab, MD
Internal Medicine
NPI 1265005953
111 CENTRAL AVE DEPT FLOORD7
Newark, NJ 07102
(973) 877-5487
✔ PECOS✔ Accepts MedicareSame address
Gowthami Are, M.D.
Internal Medicine
NPI 1841687712
111 CENTRAL AVE
Newark, NJ 07102
(973) 877-5000
✔ PECOS✔ Accepts MedicareSame address
Mirette Habib, MD
Cardiovascular Disease (Cardiology)
NPI 1700121365
111 CENTRAL AVE
Newark, NJ 07102
(732) 266-5161
✔ PECOS✔ Accepts MedicareSame address
Claudia Komer, DO
Anesthesiology
NPI 1922005669
111 CENTRAL AVE
Newark, NJ 07102
(973) 877-5000
✔ PECOS✔ Accepts MedicareSame address
Susan Mizzi, R D
Registered Dietitian or Nutrition Professional
NPI 1639135049
111 CENTRAL AVE
Newark, NJ 07102
(973) 877-5000
Same address
Murad Qirem, MD
Internal Medicine
NPI 1922730985
111 CENTRAL AVE
Newark, NJ 07102
(973) 877-5465
✔ PECOS✔ Accepts MedicareSame address
Hamid Shaaban, M.D
Medical Oncology
NPI 1578854618
111 CENTRAL AVE
Newark, NJ 07102
(973) 877-5000
✔ PECOS✔ Accepts MedicareSame address
Raymund Vincent Sison, M.D.
Infectious Disease
NPI 1598023152
111 CENTRAL AVE DEPARTMENT OF MEDICAL EDUCATION
Newark, NJ 07102
(201) 920-9948
✔ PECOSSame address
Nicholas Baranetsky, MD
Endocrinology
NPI 1093808164
268 DR MARTIN LUTHER KING JR BLVD STE B
Newark, NJ 07102
(973) 877-5185
✔ PECOS✔ Accepts Medicare0.1 mi
Ogori Kalu, MD
Surgical Oncology
NPI 1992942676
268 DR MARTIN LUTHER KING JR BLVD
Newark, NJ 07102
(973) 877-2770
✔ PECOS✔ Accepts Medicare0.1 mi
Stephen Manocchio, MD
Infectious Disease
NPI 1891731766
268 DR MARTIN LUTHER KING JR BLVD
Newark, NJ 07102
(973) 877-2586
✔ PECOS0.1 mi
Nancy Scangarello, NP
Nurse Practitioner
NPI 1477598928
268 DR MARTIN LUTHER KING JR BLVD
Newark, NJ 07102
(973) 877-2586
✔ PECOS✔ Accepts Medicare0.1 mi
Jihad Slim, MD
Infectious Disease
NPI 1366411076
268 DR MARTIN LUTHER KING JR BLVD
Newark, NJ 07102
(973) 364-2682
✔ PECOS✔ Accepts Medicare0.1 mi
Andre Fedida, M.D.
Gastroenterology
NPI 1891839312
306 MARTIN LUTHER KING JR BLVD 4TH FLOOR
Newark, NJ 07102
(973) 877-2580
✔ PECOS✔ Accepts Medicare0.1 mi
Richard Miller, M.D.
Pulmonary Disease
NPI 1124109319
268 -306 MARTIN LUTHER KING BLVD
Newark, NJ 07102
(973) 877-5493
✔ PECOS✔ Accepts Medicare0.5 mi
Mrinal Koul, MD
Obstetrics/Gynecology
NPI 1114067527
341 WALNUT ST
Newark, NJ 07105
(908) 490-0036
✔ PECOS✔ Accepts Medicare1.4 mi
Joaquim Correia, MD
Cardiovascular Disease (Cardiology)
NPI 1205945623
243 CHESTNUT ST STE 2L
Newark, NJ 07105
(973) 589-8668
✔ PECOS✔ Accepts Medicare1.5 mi
Arthur Siegel, M.D.
Internal Medicine
NPI 1912121534
195 1ST AVE W
Newark, NJ 07107
(973) 483-5551
✔ PECOS1.7 mi
Debbie Mohammed, DRPH,MS, MPH,
Nurse Practitioner
NPI 1881807774
569 NORTH 5TH STREET,
Newark, NJ 07107
(973) 343-3660
✔ PECOS✔ Accepts Medicare1.7 mi
Darshi Sunderam, MD
Endocrinology
NPI 1679597280
310 CENTRAL AVE SUITE 205
East Orange, NJ 07018
(973) 266-9111
✔ PECOS✔ Accepts Medicare2.3 mi
See all 120 clinicians

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 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.

Is Central Avenue Professional Services, PC enrolled in Medicare?

Yes. Central Avenue Professional Services, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Avenue Professional Services, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 120 clinicians in 23 Medicare specialties reassign their Medicare billing to Central Avenue Professional Services, PC. 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. The largest specialties are Diagnostic Radiology (26), Internal Medicine (25) and General Surgery (7). Of these, 8 practice at this address and 56 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.