Healthcare Provider Details

I. General information

NPI: 1316675440
Provider Name (Legal Business Name): SAMEDAY DOCTORS NJ, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2022
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BLOOMFIELD AVE
MONTCLAIR NJ
07042-3602
US

IV. Provider business mailing address

320 LINCOLN BOULEVARD
VENICE CA
90291
US

V. Phone/Fax

Practice location:
  • Phone: 310-807-1373
  • Fax:
Mailing address:
  • Phone: 310-807-1373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: CHET THARPE, M.D.
Title or Position: OWNER
Credential:
Phone: 310-807-1373