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URGENT CARE PHYSICIANS OF NEW JERSEY LLC NPI 1447622402


NPI Information

NPI: 1447622402
Provider Name: URGENT CARE PHYSICIANS OF NEW JERSEY, LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 31D2137272

Address:
46 NEWMAN SPRINGS RD E STE F
RED BANK, NJ
ZIP 07701
Phone: (732) 933-4100
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URGENT CARE PHYSICIANS OF NEW JERSEY, LLC is an emergency medicine in Red Bank, NJ. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. URGENT CARE PHYSICIANS OF NEW JERSEY, LLC NPI is 1447622402. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

46 NEWMAN SPRINGS RD E STE F
RED BANK, NJ
ZIP 07701-531
Phone: (732) 933-4100
Fax: (732) 933-4120

The provider's authorized official is Mark Waciega .
The authorized official title is Managing Member and has the following contact phone number (732) 933-4100.

The CLIA number assigned to this NPI record is 31D2137272 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2015 and was last updated on 3/17/2018.


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
1207P00000XEmergency Medicine25MA07201000NEW JERSEYYes

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
10552020MEDICAIDNEW 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

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