ALIVEDRIP MEDICAL LLC — NPI 1831002138 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in SECAUCUS, NJ)

CMS-1500 Box 24J / 33a • NPI

1831002138

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QI0500X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

255 ROUTE 3 STE 105, SECAUCUS, NJ, 07094-3857

✓ 9-Digit EDI 837 ZIP+4 (07094-3857)

Practice Phone & Referral Fax

(551) 383-2425

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1831002138 (ALIVEDRIP MEDICAL LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1831002138` (NPI-2 Organization / Facility)
Provider / Legal Name	ALIVEDRIP MEDICAL LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QI0500X` (Clinic/Center, Infusion Therapy)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	255 ROUTE 3 STE 105, SECAUCUS, NJ, 07094-3857
Practice Telephone / Fax	Tel: (551) 383-2425
Administrative Mailing Address	255 ROUTE 3 STE 105, SECAUCUS, NJ, 07094-3857
Enumeration & Last Sync	Enumerated: 2026-09-26 \| CMS Record Updated: 2026-10-21
Authorized Official	HOMAM BADRI (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

255 ROUTE 3 STE 105, SECAUCUS, NJ, 07094-3857

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Plain-English Taxonomy & CMS Crosswalk (261QI0500X)

What Does Taxonomy Code 261QI0500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QI0500X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALIVEDRIP MEDICAL LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`208VP0014X` — Pain Medicine, Interventional Pain Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine	State: N/A \| License: `Verified` \| Primary: Secondary
`261QI0500X` — Clinic/Center, Infusion Therapy Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALIVEDRIP MEDICAL LLC (NPI #1831002138)