MEDICARE: URGI-MED FAMILY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1639427495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGI-MED FAMILY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1576 LANES MILL RD
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3839
Country	:	US
Telephone Number	:	973-891-1321
Fax Number	:	973-206-5049

Provider Business Practice Location Address
First Line	:	1576 LANES MILL RD
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3839
Country	:	US
Telephone Number	:	973-891-1321
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. YECHIEL ZAGELBAUM
Credential	:	DO
Telephone Number	:	973-891-1321

Provider Enumeration Date	:	08/27/2012
Last Update Date	:	10/20/2025

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