MEDICARE: EA HEALTHCARE LLC

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1942134515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EA HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	70 MOUNTAIN AVE
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-1036
Country	:	US
Telephone Number	:	201-657-0868
Fax Number	:	201-447-9346

Provider Business Practice Location Address
First Line	:	70 MOUNTAIN AVE
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-1036
Country	:	US
Telephone Number	:	201-657-0868
Fax Number	:	201-447-9346

Authorized Official
Title or Position	:	CEO
Name	:	EDRIK JOSUE ACEVEDO BELTRAN
Credential	:	MD
Telephone Number	:	201-657-0868

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “EA HEALTHCARE LLC ” Practice Location

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