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CITY MEDICAL OF NEW JERSEY PC NPI 1841714649


NPI Information

NPI: 1841714649
Provider Name: CITY MEDICAL OF NEW JERSEY, PC

Doing Business As: CITYMD URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 31D2135302

Address:
76 WILLOWBROOK BLVD
WAYNE, NJ
ZIP 07470
Phone: (862) 243-7938
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CITY MEDICAL OF NEW JERSEY, PC is an urgent care clinic center in Wayne, NJ. CITY MEDICAL OF NEW JERSEY, PC NPI is 1841714649. The provider is registered as an organization entity type.
The provider Is Doing Business As Citymd Urgent Care.

The provider's business location address is:

76 WILLOWBROOK BLVD
WAYNE, NJ
ZIP 07470-002
Phone: (862) 243-7938
Fax: (862) 243-7939

The provider's authorized official is Richard Park .
The authorized official title is Ceo and has the following contact phone number (516) 783-4600.

The CLIA number assigned to this NPI record is 31D2135302 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2017 and was last updated on 8/2/2017.


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
1261QU0200XClinic/CenterUrgent CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.