COMMUNITY URGENT CARE NJ PA NPI 1417580887

NPI Information

NPI: 1417580887
Provider Name: COMMUNITY URGENT CARE NJ PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 31D2217653

Address:
714 BROADWAY STE 1
PATERSON, NJ
ZIP 07514
Phone: (800) 750-8616
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COMMUNITY URGENT CARE NJ PA is a primary care clinic center in Paterson, NJ. COMMUNITY URGENT CARE NJ PA NPI is 1417580887. The provider is registered as an organization entity type.

The provider's business location address is:

714 BROADWAY STE 1
PATERSON, NJ
ZIP 07514-403
Phone: (800) 750-8616
Fax: (845) 362-8474

The provider's authorized official is Samuel Preschel .
The authorized official title is Owner and has the following contact phone number (917) 747-7976.

The CLIA number assigned to this NPI record is 31D2217653 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2020 and was last updated on 8/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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