Healthcare Provider Details

I. General information

NPI: 1164690426
Provider Name (Legal Business Name): AMERICAN CURRENT CARE OF NEW JERSEY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

574 SUMMIT 4TH FLOOR
JERSEY CITY NJ
07306-2708
US

IV. Provider business mailing address

5080 SPECTRUM DRIVE SUITE 1200 WEST
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 201-656-7678
  • Fax: 201-656-0664
Mailing address:
  • Phone: 972-364-8083
  • Fax: 214-775-4502

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: DR. JOHN ANDERSON
Title or Position: SENIOR VP / CHIEF MEDICAL OFFICER
Credential: DO
Phone: 972-364-8000