Healthcare Provider Details

I. General information

NPI: 1205074960
Provider Name (Legal Business Name): URBAN MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2009
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 MARTIN LUTHER KING JR DR
JERSEY CITY NJ
07305-3025
US

IV. Provider business mailing address

95 MARTIN LUTHER KING JR DR
JERSEY CITY NJ
07305-3025
US

V. Phone/Fax

Practice location:
  • Phone: 201-469-6659
  • Fax: 201-332-7003
Mailing address:
  • Phone: 201-332-7077
  • Fax: 201-332-7003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number22DI01783400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA08302800
License Number StateNJ

VIII. Authorized Official

Name: HYACINTH E UCHEAGWU
Title or Position: OWNER / MD
Credential: MD
Phone: 201-332-7077