MEDICARE: IMMEDIATE CARE P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134105620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMMEDIATE CARE P.C.

Provider Business Mailing Address
First Line	:	618 NEWARK AVE STE 220
Second Line	:	JAMA CLAIMS PROCESSING, LLC
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-2318
Country	:	US
Telephone Number	:	201-792-8859
Fax Number	:	201-792-8869

Provider Business Practice Location Address
First Line	:	1856 KENNEDY BLVD
Second Line	:	IMMEDIATE CARE P.C.
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-2122
Country	:	US
Telephone Number	:	201-333-7606
Fax Number	:	201-333-8789

Authorized Official
Title or Position	:	SENIOR PHYSICAN
Name	:	MEDHAT ELSAYED EL-AMIR
Credential	:	M.D.
Telephone Number	:	201-792-8859

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	08/22/2020

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