Healthcare Provider Details

I. General information

NPI: 1407787310
Provider Name (Legal Business Name): BP IMMEDIATE MEDICAL CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 W SIDE AVE
JERSEY CITY NJ
07304-1617
US

IV. Provider business mailing address

3808 14TH AVE
BROOKLYN NY
11218-3610
US

V. Phone/Fax

Practice location:
  • Phone: 201-688-2424
  • Fax:
Mailing address:
  • Phone: 201-688-2424
  • 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: SAMUEL WERZBERGER
Title or Position: PRESIDENT
Credential:
Phone: 201-688-2424