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EXCELCARE MEDICAL ASSOCIATES, PA
NPI 1992736300
Internal Medicine in Teaneck, NJ

Active since July 05, 2006CLIA Certified · 4 labs
718 TEANECK RD, TEANECK, NJ 07666(201) 833-3000 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2024, Feb 6, 2023 (2 updates tracked since 2023).

About Excelcare Medical Associates, Pa NPPES

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

EXCELCARE MEDICAL ASSOCIATES, PA (NPI 1992736300) is a healthcare organization registered as an internal medicine in Teaneck, New Jersey and active in the NPI registry since July 2006. The organization holds 4 active CLIA laboratory certificates and lists Patricia Beniquez Pacheco, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1992736300
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEXCELCARE MEDICAL ASSOCIATES, PA
Location Address718 TEANECK RDTeaneck, NJ 07666-4245
Mailing Address3 University Plz Ste 205Hackensack, NJ 07601-6208 · (201) 833-3599 · Fax (201) 227-6207
Phone(201) 833-3000
Organization SubpartNo
Authorized OfficialPatricia Beniquez PachecoCredentialing Supervisor · (201) 833-3599
Enumeration DateJuly 5, 2006
Last NPPES UpdateJanuary 24, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1992736300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedPediatricsTaxonomy 208000000X
718 TEANECK RD, Teaneck, NJ 07666
Open in Google Maps ↗

Other Identifiers 1

Medicaid1040197NJ

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, Oscar Health.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)

Excelcare Medical Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

233

Medicare enrollment records show 233 clinicians reassign Medicare billing to Excelcare Medical Associates, PA, which bills Medicare for the services they deliver. Of these, 54 practice at this address and 204 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Nurse Practitioner79
Internal Medicine36
Obstetrics/Gynecology27
Family Practice19
General Surgery10
Nephrology7
Cardiovascular Disease (Cardiology)6
Gastroenterology6
19 other specialties43

Nearest to this location (20)

See all 233
Ananea Adamidis, M.D.
Nephrology
NPI 1235139957
718 TEANECK RD
Teaneck, NJ 07666
(201) 833-3223
✔ PECOS✔ Accepts MedicareSame address
Ruth Adelman, MSN, RN, ANP, ACNP
Nurse Practitioner
NPI 1760620454
718 TEANECK ROAD 3RD FLOOR UTILIZATION REVIEW
Teaneck, NJ 07666
(201) 803-3065
✔ PECOS✔ Accepts MedicareSame address
Omar Bellorin-Marin, MD
General Surgery
NPI 1083939433
718 TEANECK RD
Teaneck, NJ 07666
(201) 833-3444
✔ PECOS✔ Accepts MedicareSame address
Sohee Bidol-Lee, M.D.
Internal Medicine
NPI 1427012731
718 TEANECK RD ATTN: HEALTH PARTNER SERVICES
Teaneck, NJ 07666
(201) 833-3000
✔ PECOS✔ Accepts MedicareSame address
Erika Brinkmann, MD
General Surgery
NPI 1598832263
718 TEANECK RD
Teaneck, NJ 07666
(201) 833-3357
✔ PECOS✔ Accepts MedicareSame address
Shonda Corbett, MD
Obstetrics/Gynecology
NPI 1336140029
718 TEANECK RD STE 301
Teaneck, NJ 07666
(551) 288-1025
✔ PECOS✔ Accepts MedicareSame address
Victoria Costales, MD
Internal Medicine
NPI 1902033236
718 TEANECK RD
Teaneck, NJ 07666
(201) 541-5929
✔ PECOS✔ Accepts MedicareSame address
Jasmine Diaz, LCSW
Clinical Social Worker
NPI 1336457480
718 TEANECK RD
Teaneck, NJ 07666
(201) 227-6008
✔ PECOS✔ Accepts MedicareSame address
Margaret Edwards, ANP
Nurse Practitioner
NPI 1861864316
718 TEANECK RD
Teaneck, NJ 07666
(201) 227-6275
✔ PECOS✔ Accepts MedicareSame address
Kimberly Fallon, M.D.
Obstetrics/Gynecology
NPI 1477674737
718 TEANECK RD STE 301
Teaneck, NJ 07666
(551) 288-1025
✔ PECOS✔ Accepts MedicareSame address
Marjorie Gayanilo, MD
Cardiovascular Disease (Cardiology)
NPI 1700022027
718 TEANECK RD
Teaneck, NJ 07666
(201) 833-3535
✔ PECOS✔ Accepts MedicareSame address
Vasantha Kondamudi, MD
Family Practice
NPI 1144238924
718 TEANECK RD
Teaneck, NJ 07666
(201) 833-3000
✔ PECOS✔ Accepts MedicareSame address
Thomas Kreibich, MD PHD
Neurology
NPI 1700089166
718 TEANECK RD
Teaneck, NJ 07666
(201) 833-7208
✔ PECOS✔ Accepts MedicareSame address
Jonathan Lee, MD
Surgical Oncology
NPI 1639253354
718 TEANECK RD
Teaneck, NJ 07666
(201) 227-6008
✔ PECOS✔ Accepts MedicareSame address
Vikram Premkumar, M.D.
Hematology/Oncology
NPI 1104245521
718 TEANECK RD
Teaneck, NJ 07666
(201) 227-6008
✔ PECOS✔ Accepts MedicareSame address
Maria Schiavone Forlenza, MD
Gynecological Oncology
NPI 1790927465
718 TEANECK RD
Teaneck, NJ 07666
(201) 833-3000
✔ PECOS✔ Accepts MedicareSame address
Jason Wynberg, M.D.
Urology
NPI 1023090230
718 TEANECK RD
Teaneck, NJ 07666
(201) 227-6008
✔ PECOS✔ Accepts MedicareSame address
Ignatios Zairis, MD
Thoracic Surgery
NPI 1760519151
718 TEANECK ROAD HOLY NAME REGIONAL CANCER CENTER L1
Teaneck, NJ 07666
(201) 837-8282
✔ PECOS✔ Accepts MedicareSame address
Raed Atiyat, MD
Gastroenterology
NPI 1740800135
718 TEANECK RD
Teaneck, NJ 07666
(201) 652-8800
✔ PECOSSame address
Salman Mamji, MD
Hospitalist
NPI 1871960013
718 TEANECK RD
Teaneck, NJ 07666
(201) 833-3000
✔ PECOS✔ Accepts MedicareSame address
See all 233 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

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 for Provider-Performed Microscopy Procedures (PPMP) 31D1087916

Excelcare Medical Associates PA · Cliffside Park, NJ
Active · expires Jun 10, 2027
CLIA Number31D1087916
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorRuben Barrera Vera
Laboratory Phone(201) 833-3000
Laboratory LocationExcelcare Medical Associates PA663 Palisades Ave Suite 301, Cliffside Park, NJ 07010
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 31D0111793

Excelcare Medical Associates, PA · Hackensack, NJ
Active · expires Sep 10, 2027
CLIA Number31D0111793
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorLaura M. Chavez
Laboratory Phone(201) 487-3355
Laboratory LocationExcelcare Medical Associates, PA50 Passaic Street, Hackensack, NJ 07601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2004348

Excelcare Medical Associates, PA · Hackensack, NJ
Active · expires Jun 15, 2027
CLIA Number31D2004348
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorEbrahim S. Issa
Laboratory Phone(201) 907-0995
Laboratory LocationExcelcare Medical Associates, PA125 Hackensack Avenue, Hackensack, NJ 07601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D0691644

Excelcare Medical Associates · Teaneck, NJ
Active · expires Jan 19, 2027
CLIA Number31D0691644
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorHarry Banschick
Laboratory Phone(201) 592-9210
Laboratory LocationExcelcare Medical Associates222 Cedar Lane Suite 301, Teaneck, NJ 07666
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Excelcare Medical Associates, PA's NPI number?

The NPI number for Excelcare Medical Associates, PA is 1992736300. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Excelcare Medical Associates, PA located?

Excelcare Medical Associates, PA is located at 718 Teaneck Rd, Teaneck, NJ 07666. The listed phone number is (201) 833-3000.

What is Excelcare Medical Associates, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Excelcare Medical Associates, PA enrolled in Medicare?

Yes. Excelcare Medical Associates, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Excelcare Medical Associates, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 233 clinicians in 27 Medicare specialties reassign their Medicare billing to Excelcare Medical Associates, PA. 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 Nurse Practitioner (79), Internal Medicine (36) and Obstetrics/Gynecology (27). Of these, 54 practice at this address and 204 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Excelcare Medical Associates, PA hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Excelcare Medical Associates, PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Excelcare Medical Associates, PA 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 Excelcare Medical Associates, PA was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.