Healthcare Provider Details

I. General information

NPI: 1124823067
Provider Name (Legal Business Name): EK MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W UNION AVE
BOUND BROOK NJ
08805-1166
US

IV. Provider business mailing address

601 W UNION AVE
BOUND BROOK NJ
08805-1166
US

V. Phone/Fax

Practice location:
  • Phone: 732-939-5487
  • Fax: 908-751-5079
Mailing address:
  • Phone: 732-939-5487
  • Fax: 908-751-5079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK ZENZ
Title or Position: MANAGER
Credential:
Phone: 732-939-5487