ADVANCED GENERAL MEDICINE
NPI 1609524941
Clinic/Center - Primary Care in Elizabeth, NJ
About Advanced General Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED GENERAL MEDICINE (NPI 1609524941) is a healthcare organization registered as a primary care in Elizabeth, New Jersey and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Raul E Vasquez Duran, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 31D2256237
Advanced General Medicine · Elizabeth, NJOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Advanced General Medicine's NPI number?
The NPI number for Advanced General Medicine is 1609524941. It was assigned to this organization in the NPPES registry on March 15, 2022.
Where is Advanced General Medicine located?
Advanced General Medicine is located at 1019 E Jersey St, Elizabeth, NJ 07201. The listed phone number is (929) 279-3379.
What is Advanced General Medicine's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Advanced General Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2256237) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Advanced General Medicine was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Advanced General Medicine · NPI 1609524941
Primary Care organization in Elizabeth, New Jersey. Organization record, active in the CMS NPPES registry since March 15, 2022.
## Identity
- **NPI:** 1609524941 (Entity type: Organization)
- **Enumerated:** March 15, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Raul Vasquez Duran, OWNER
## Practice location
- **Address:** 1019 E JERSEY ST, Elizabeth, NJ 07201-5503
- **Phone:** (929) 279-3379
## Record status
- **NPPES last updated:** June 29, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609524941) · Data from the CMS NPPES public registry.