IMMEDIATE CARE MEDICAL WALK-IN OF HAZLET PA NPI 1245595313

NPI Information

NPI: 1245595313
Provider Name: IMMEDIATE CARE MEDICAL WALK-IN OF HAZLET, PA
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 31D2044356

Address:
1376 HIGHWAY 36
HAZLET, NJ
ZIP 07730
Phone: (732) 264-5500
Get Directions

IMMEDIATE CARE MEDICAL WALK-IN OF HAZLET, PA is an urgent care clinic center in Hazlet, NJ. IMMEDIATE CARE MEDICAL WALK-IN OF HAZLET, PA NPI is 1245595313. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1376 HIGHWAY 36
HAZLET, NJ
ZIP 07730
Phone: (732) 264-5500
Fax: (732) 264-5554

The provider's authorized official is Lisa M Golding-granado .
The authorized official title is Owner and has the following contact phone number (732) 264-5500.

The CLIA number assigned to this NPI record is 31D2044356 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2012 and was last updated on 1/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207Q00000X	Family Medicine			No
2	207R00000X	Internal Medicine			No
3	261QU0200X	Clinic/Center	Urgent Care	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0	OTHER	NEW JERSEY	HORIZON BLUE CROSS AND BLUE SHIELD
2	255217	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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