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COMPREHENSIVE MEDICAL CENTER LLC
NPI 1689071722
Nurse Practitioner - Adult Health in Irvington, NJ

Active since December 03, 2014
1200 CLINTON AVE, SUITE 140, IRVINGTON, NJ 07111(973) 374-1080(973) 373-1726 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Comprehensive Medical Center Llc NPPES

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

COMPREHENSIVE MEDICAL CENTER LLC (NPI 1689071722) is a healthcare organization registered as an adult health in Irvington, New Jersey and active in the NPI registry since December 2014. The organization lists Sonya Goodrich, Biller, as its authorized official.

NPPES Registry Identity

NPI1689071722
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameCOMPREHENSIVE MEDICAL CENTER LLC
Location Address1200 CLINTON AVE, SUITE 140Irvington, NJ 07111-2070
Mailing Address1200 Clinton Ave, Suite 140Irvington, NJ 07111-2070 · (973) 374-1080
Phone(973) 374-1080
Fax(973) 373-1726
Organization SubpartNo
Authorized OfficialSonya GoodrichBiller · (973) 374-1080
Enumeration DateDecember 3, 2014
Last NPPES UpdateMarch 23, 2016
✔ NPI 1689071722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NN09682500
1200 CLINTON AVE, Irvington, NJ 07111
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Comprehensive Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Comprehensive Medical Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sonya Goodrich, NP
Nurse Practitioner
NPI 1053528356
1200 CLINTON AVE SUITE 140
Irvington, NJ 07111
(973) 374-1080
✔ PECOS✔ Accepts MedicareSame address

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 Comprehensive Medical Center LLC's NPI number?

The NPI number for Comprehensive Medical Center LLC is 1689071722. It was assigned to this organization in the NPPES registry on December 3, 2014.

Where is Comprehensive Medical Center LLC located?

Comprehensive Medical Center LLC is located at 1200 Clinton Ave Suite 140, Irvington, NJ 07111. The listed phone number is (973) 374-1080.

What is Comprehensive Medical Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Comprehensive Medical Center LLC enrolled in Medicare?

Yes. Comprehensive Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Comprehensive Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Comprehensive Medical Center LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Comprehensive Medical Center LLC was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.