NEXTGENUC LLC NPI 1407457880

NPI Information

NPI: 1407457880
Provider Name: NEXTGENUC LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 31D2200149

Address:
481 S WASHINGTON AVE
BERGENFIELD, NJ
ZIP 07621
Phone: (917) 974-7279
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NEXTGENUC LLC is an urgent care clinic center in Bergenfield, NJ. NEXTGENUC LLC NPI is 1407457880. The provider is registered as an organization entity type.

The provider's business location address is:

481 S WASHINGTON AVE
BERGENFIELD, NJ
ZIP 07621-313
Phone: (917) 974-7279
Fax: (732) 707-5001

The provider's authorized official is Dimitri Laddis .
The authorized official title is President and has the following contact phone number (917) 974-7279.

The CLIA number assigned to this NPI record is 31D2200149 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2020 and was last updated on 11/3/2020.

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 Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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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