Provider Demographics
NPI:1598412033
Name:URGENT CARE ONE, LLC
Entity Type:Organization
Organization Name:URGENT CARE ONE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:STONER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-298-0188
Mailing Address - Street 1:60 W GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1949
Mailing Address - Country:US
Mailing Address - Phone:856-298-0188
Mailing Address - Fax:
Practice Address - Street 1:3333 ROUTE 9 N
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8503
Practice Address - Country:US
Practice Address - Phone:732-252-6128
Practice Address - Fax:732-252-6129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA04284100OtherNEW JERSEY BOARD OF MEDICAL EXAMINERS