MEDICARE: ADVANCED HEALTHCARE SERVICES, P.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA07514800	NJ
2	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376721266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEALTHCARE SERVICES, P.C

Provider Business Mailing Address
First Line	:	2727 JOHN F KENNEDY BLVD FL 1
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5507
Country	:	US
Telephone Number	:	201-221-4770
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 JOHN F KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5507
Country	:	US
Telephone Number	:	201-221-4770
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SAQUIBA SYED
Credential	:	M.D.
Telephone Number	:	201-724-4110

Provider Enumeration Date	:	02/04/2008
Last Update Date	:	05/03/2023

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