Irvington Primary Care LLC
NPI 1134563836ActiveOrganization· Clinic/Center· Irvington, NJ
Clinic/Center in Irvington, New Jersey, registered in NPPES in April 2013. The authorized official on file is Tazzeen Ashraf, President/Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134563836 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2013 |
| Last updated in NPPES | Feb 17, 2022 |
| Certified by provider | Feb 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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