Provider Demographics
NPI:1396506614
Name:ALPHA CARE SOLUTIONS
Entity type:Organization
Organization Name:ALPHA CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APN C
Authorized Official - Prefix:
Authorized Official - First Name:ANDRIY
Authorized Official - Middle Name:
Authorized Official - Last Name:ILASHUK
Authorized Official - Suffix:
Authorized Official - Credentials:NPC
Authorized Official - Phone:201-973-4242
Mailing Address - Street 1:22 PARTRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1296
Mailing Address - Country:US
Mailing Address - Phone:201-973-4242
Mailing Address - Fax:
Practice Address - Street 1:185 CENTRAL AVE STE 311
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-3318
Practice Address - Country:US
Practice Address - Phone:862-520-1920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty