PHYSICIANS HEALTH ALLIANCE PA
NPI 1528047842
Internal Medicine - Cardiovascular Disease in Wayne, NJ

Active since January 13, 2006CLIA 31D0953221 · Waiver
1777 HAMBURG TPKE, WAYNE, NJ 07470(973) 835-6300(973) 835-3761 Get Directions Write a Review

NPPES record last updated: January 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Physicians Health Alliance Pa NPPES

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

PHYSICIANS HEALTH ALLIANCE PA (NPI 1528047842) is a healthcare organization registered as a cardiovascular disease in Wayne, New Jersey and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Michael R. Dara, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1528047842
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePHYSICIANS HEALTH ALLIANCE PA
Location Address1777 HAMBURG TPKEWayne, NJ 07470-5211
Mailing Address1777 Hamburg Tpke, Suite 102Wayne, NJ 07470-5211 · (973) 831-7455 · Fax (973) 835-3761
Fax(973) 835-3761
Organization SubpartNo
Authorized OfficialMichael R. DaraSecretary/treasurer · (973) 835-6300
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJanuary 21, 2009
NPI 1528047842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X
1777 HAMBURG TPKE, Wayne, NJ 07470

Other Identifiers 2

Medicaid7726805NJ
Medicare PIN013410NJ

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

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 31D0953221

Physicians Health Alliance · Wayne, NJ
Active · expires Oct 28, 2026
CLIA Number31D0953221
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorKenneth P. Lubansky MD
Laboratory Phone(973) 839-5070
Laboratory LocationPhysicians Health Alliance2025 Hamburg Tpk Suite D, Wayne, NJ 07470
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Urology
1777 HAMBURG TPKE, SUITE304
WAYNE, NJ 07470
Orthopaedic Surgery
1777 HAMBURG TPKE, SUITE 301
WAYNE, NJ 07470
Specialist
1777 HAMBURG TPKE, SUITE 202
WAYNE, NJ 07470
Orthopaedic Surgery
1777 HAMBURG TPKE, SUITE 305
WAYNE, NJ 07470
Internal Medicine
1777 HAMBURG TPKE, SUITE 103
WAYNE, NJ 07470
Specialist
1777 HAMBURG TPKE, SUITE 203
WAYNE, NJ 07470
Specialist
1777 HAMBURG TPKE, SUITE 202
WAYNE, NJ 07470
Internal Medicine (Cardiovascular Disease)
1777 HAMBURG TPKE, SUITE 102
WAYNE, NJ 07470

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 Physicians Health Alliance PA's NPI number?

The NPI number for Physicians Health Alliance PA is 1528047842. It was assigned to this organization in the NPPES registry on January 13, 2006.

Where is Physicians Health Alliance PA located?

Physicians Health Alliance PA is located at 1777 Hamburg Tpke, Wayne, NJ 07470. The listed phone number is (973) 835-6300.

What is Physicians Health Alliance PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Physicians Health Alliance PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0953221) is associated with this NPI, valid through October 28, 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 Physicians Health Alliance PA was last updated on January 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.