OrganizationActive
Inadvance Medicine Associates East
NPI 1912867417 · Community Health Worker · Clark, NJ
Provider details
- NPI number
- 1912867417
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Organization subpart
- No
- Authorized official
- Juana Slack, Medical Billing Specialist(480) 646-9086
Specialties & taxonomies
Other Service Providers
Practice location
57 Brant Avenue
Suite 100
Clark, NJ 07066
Phone: (877) 358-8648
Fax: (877) 877-6875
Approximate (ZIP-level) locationGet directions
Mailing address
4343 East Outlier Blvd.
Phoenix, AZ 85008-6507
Other names (DBA / former)
- Doing business as
- Passport Health
Registry dates
- Enumerated
- 2025-11-17
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.