Provider Demographics
NPI:1134105620
Name:IMMEDIATE CARE P.C.
Entity Type:Organization
Organization Name:IMMEDIATE CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PHYSICAN
Authorized Official - Prefix:
Authorized Official - First Name:MEDHAT
Authorized Official - Middle Name:ELSAYED
Authorized Official - Last Name:EL-AMIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-792-8859
Mailing Address - Street 1:618 NEWARK AVE STE 220
Mailing Address - Street 2:JAMA CLAIMS PROCESSING, LLC
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2318
Mailing Address - Country:US
Mailing Address - Phone:201-792-8859
Mailing Address - Fax:201-792-8869
Practice Address - Street 1:1856 KENNEDY BLVD
Practice Address - Street 2:IMMEDIATE CARE P.C.
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-2122
Practice Address - Country:US
Practice Address - Phone:201-333-7606
Practice Address - Fax:201-333-8789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6704808Medicaid
NJD06412Medicare UPIN
NJ075739Medicare ID - Type Unspecified