# ADVANCED INTERNAL MEDICINE AND SLEEP WELLNESS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275405730
- **Authorized official:** DR. BANKIM SHAH MD (PHYSICIAN/ DIRECTOR)
- **Authorized official phone:** (973) 281-2420

## Contact information

- **Practice address:** 2066 MILLBURN AVE, MAPLEWOOD, NJ 07040-3727
- **Practice address phone:** (973) 281-2420
- **Mailing address:** 5 PATRICK CT, BOONTON, NJ 07005-9051
- **Mailing address phone:** (973) 281-2420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2025
- **Last updated:** 09/23/2025