ADVANCED HEALING & PAIN RELIEF CENTER, LLC — NPI 1891064846 (Licensed & Credentialed Point of Service in UNION, NJ)

CMS-1500 Box 24J / 33a • NPI

1891064846

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

305S00000X

Licensed & Credentialed Point of Service

Box 32 Service Location & ZIP+4

2414 MORRIS AVE STE 101, UNION, NJ, 07083-5708

✓ 9-Digit EDI 837 ZIP+4 (07083-5708)

Practice Phone & Referral Fax

(908) 349-0342

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1891064846 (ADVANCED HEALING & PAIN RELIEF CENTER, 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	`1891064846` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED HEALING & PAIN RELIEF CENTER, LLC
Plain-English Specialty	Licensed & Credentialed Point of Service NUCC Code: `305S00000X` (Point of Service)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2414 MORRIS AVE STE 101, UNION, NJ, 07083-5708
Practice Telephone / Fax	Tel: (908) 349-0342
Administrative Mailing Address	2414 MORRIS AVE STE 101, UNION, NJ, 07083-5708
Enumeration & Last Sync	Enumerated: 2011-12-20 \| CMS Record Updated: 2022-03-18
Authorized Official	MICHAEL WILLEMSE (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2414 MORRIS AVE STE 101, UNION, NJ, 07083-5708

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Plain-English Taxonomy & CMS Crosswalk (305S00000X)

What Does Taxonomy Code 305S00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 305S00000X translates to:
"Licensed & Credentialed Point of Service"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Point of Service for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED HEALING & PAIN RELIEF CENTER, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: N/A \| License: `Verified` \| Primary: Secondary
`111N00000X` — Chiropractor Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor	State: N/A \| License: `Verified` \| Primary: Secondary
`305S00000X` — Point of Service Plain English: Licensed & Credentialed Point of Service	State: NJ \| License: `38MC00689200` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED HEALING & PAIN RELIEF CENTER, LLC (NPI #1891064846)