Healthcare Provider Details

I. General information

NPI: 1912857038
Provider Name (Legal Business Name): EXCEL HEALTHCARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 BROADWAY STE 500
BAYONNE NJ
07002-3695
US

IV. Provider business mailing address

22 NORMANDY CT
HO HO KUS NJ
07423-1217
US

V. Phone/Fax

Practice location:
  • Phone: 973-607-4758
  • Fax:
Mailing address:
  • Phone: 312-622-3986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ANGELO Y AHN
Title or Position: OWNER
Credential:
Phone: 312-622-3986