BMG EAST ORANGE LLC NPI 1659882082

NPI Information

NPI: 1659882082
Provider Name: BMG EAST ORANGE LLC
Classification: Clinic/Center - 261QU0200X
Specialization: Urgent Care
Entity Type: Organization
Doing Business As: URGENT CARE & WALK-IN MEDICAL SUITE
CLIA Number: 31D2154429
Address: 200 FREEWAY DR E STE 305
EAST ORANGE, NJ
ZIP 07018
Phone: (973) 370-4000

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NPI Details

BMG EAST ORANGE LLC is an urgent care clinic center in East Orange, NJ. BMG EAST ORANGE LLC NPI is 1659882082. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Urgent Care & Walk-in Medical Suite.

The provider's business location address is:

200 FREEWAY DR E STE 305
EAST ORANGE, NJ
ZIP 07018
Phone: (973) 370-4000
Fax: (973) 370-4040

The provider's authorized official is Blimy Jacobs .
The authorized official title is Billing & Credentialing Director and has the following contact phone number (845) 662-2404.

The CLIA number assigned to this NPI record is 31D2154429 - other - urgent care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2017 and was last updated on 12/30/2021.

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	207R00000X	Internal Medicine		25MA08818300	NEW JERSEY	No
2	207RI0200X	Internal Medicine	Infectious Disease	25MA08818300	NEW JERSEY	No
3	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0630390	MEDICAID	NEW JERSEY

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: 11/21/2025

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