Healthcare Provider Details

I. General information

NPI: 1790381572
Provider Name (Legal Business Name): NJ URGENTCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2020
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 DICKINSON ST
ELIZABETH NJ
07201-2210
US

IV. Provider business mailing address

520 N WOOD AVE
LINDEN NJ
07036-4147
US

V. Phone/Fax

Practice location:
  • Phone: 908-354-8900
  • Fax: 908-354-0007
Mailing address:
  • Phone: 908-587-9300
  • Fax: 908-587-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HELEN DIAZ-CAMACHO
Title or Position: MANAGER
Credential:
Phone: 908-587-9300