Provider Demographics
NPI:1043704505
Name:CENTRAL JERSEY URGENT CARE
Entity Type:Organization
Organization Name:CENTRAL JERSEY URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-894-1718
Mailing Address - Street 1:731 HWY 35 UNIT G
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4765
Mailing Address - Country:US
Mailing Address - Phone:732-455-8444
Mailing Address - Fax:
Practice Address - Street 1:6 EARLIN AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-1745
Practice Address - Country:US
Practice Address - Phone:609-757-1717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL JERSEY URGENT CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-19
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care