AGILE URGENT CARE OF SECAUCUS LLC NPI 1811345861

NPI Information

NPI: 1811345861
Provider Name: AGILE URGENT CARE OF SECAUCUS LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 31D2143163

Address:
20 MEADOWLANDS PKWY
SECAUCUS, NJ
ZIP 07094
Phone: (732) 887-2011
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AGILE URGENT CARE OF SECAUCUS LLC is an urgent care clinic center in Secaucus, NJ. AGILE URGENT CARE OF SECAUCUS LLC NPI is 1811345861. The provider is registered as an organization entity type.

The provider's business location address is:

20 MEADOWLANDS PKWY
SECAUCUS, NJ
ZIP 07094-944
Phone: (732) 887-2011
Fax: (732) 587-5486

The provider's authorized official is Raj Shah .
The authorized official title is Owner and has the following contact phone number (732) 887-2011.

The CLIA number assigned to this NPI record is 31D2143163 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2016 and was last updated on 8/17/2017.

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	25055	NEW JERSEY	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

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