Provider Demographics
NPI:1487205936
Name:URGENT CARE OF NJ
Entity Type:Organization
Organization Name:URGENT CARE OF NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:M
Authorized Official - Last Name:AZIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-662-5650
Mailing Address - Street 1:2090 ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-3372
Mailing Address - Country:US
Mailing Address - Phone:732-662-5650
Mailing Address - Fax:732-662-5651
Practice Address - Street 1:2690 WOODBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3604
Practice Address - Country:US
Practice Address - Phone:732-662-9145
Practice Address - Fax:732-662-9148
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:URGENT CARE OF NJ
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care