CRESCENT MEDICAL GROUP PC NPI 1669027140

NPI Information

  • NPI: 1669027140
  • Provider Name: CRESCENT MEDICAL GROUP PC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 31D2291852
  • Address: 141 CHESTNUT ST STE 202
    ROSELLE PARK, NJ
    ZIP 07204
  • Phone: (908) 280-9600

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NPI Details

CRESCENT MEDICAL GROUP PC is an urgent care clinic center in Roselle Park, NJ. CRESCENT MEDICAL GROUP PC NPI is 1669027140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

141 CHESTNUT ST STE 202
ROSELLE PARK, NJ
ZIP 07204-282
Phone: (908) 280-9600
Fax: (908) 248-9390

The provider's authorized official is Hr Manager .
The authorized official title is Owner and has the following contact phone number (973) 777-0000.

The CLIA number assigned to this NPI record is 31D2291852 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2019 and was last updated on 7/29/2025.

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
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4261QP2300XClinic/CenterPrimary CareNo
5261QU0200XClinic/CenterUrgent CareYes

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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