Healthcare Provider Details

I. General information

NPI: 1366361206
Provider Name (Legal Business Name): LOCALS URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 PALISADE AVE
JERSEY CITY NJ
07307-1040
US

IV. Provider business mailing address

612 PALISADE AVE
JERSEY CITY NJ
07307-1040
US

V. Phone/Fax

Practice location:
  • Phone: 724-986-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: ROSS BEYER
Title or Position: FNP-C
Credential: FNP-C
Phone: 724-986-8900