CENTRAL AVENUE PROFESSIONAL SERVICES, PC
CENTRAL AVENUE PROFESSIONAL SERVICES, PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1447649694, based in Newark, NJ. The organization lists 4 taxonomy classifications, with Critical Care Medicine (Internal Medicine) Physician recorded as primary.
Getting there
The practice address on file is 111 CENTRAL AVE, Newark, NJ 07102. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Hospital Department(s)
- PAC ID
- 7214258003
Enrolled in Medicare 10 times, across 10 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| New Jersey | O20150604002544 | Part B Supplier - Hospital Department(s) |
| Texas | O20221012000261 | Part B Supplier - Clinic/group Practice |
| Kentucky | O20221012003644 | Part B Supplier - Clinic/group Practice |
| Virginia | O20221014002941 | Part B Supplier - Clinic/group Practice |
| New York | O20221026001394 | Part B Supplier - Clinic/group Practice |
| California | O20221114003185 | Part B Supplier - Clinic/group Practice |
| Georgia | O20221116002936 | Part B Supplier - Clinic/group Practice |
| Illinois | O20221117000325 | Part B Supplier - Clinic/group Practice |
| Florida | O20230123002710 | Part B Supplier - Clinic/group Practice |
| Pennsylvania | O20250224000961 | Part B Supplier - Hospital Department(s) |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Hospital Department(s). There are 10 separate enrolment records across 10 states (NJ, TX, KY, VA, NY, CA, GA, IL, FL, PA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Critical Care Medicine covers
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. NUCC Health Care Provider Taxonomy, code 207RC0200X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine | — | — | primary |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | |
| 208600000X | Surgery Physician | — | — | |
| 213E00000X | Podiatrist | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1447649694 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 12, 2015 |
| Last updated | Apr 30, 2026 |
| Status | Active |
| Practice address |
111 CENTRAL AVE Newark, NJ 07102 (973) 877-5300 Fax (973) 877-5317 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 4 | 7 | 6 | 4 | 9 | 6 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 8 | 7 | 3 | 4 | 9 | 6 | 9 |
Sum = 76 · next multiple of 10 = 80 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.