Provider Demographics
NPI:1740339001
Name:CITY URGENT CARE, P.C.
Entity type:Organization
Organization Name:CITY URGENT CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIKEZIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-375-5000
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:PERRINEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08535-0356
Mailing Address - Country:US
Mailing Address - Phone:973-375-5000
Mailing Address - Fax:973-375-7000
Practice Address - Street 1:1186 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-2013
Practice Address - Country:US
Practice Address - Phone:973-375-5000
Practice Address - Fax:973-375-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA62398207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherEMPLOYER IDENTIFICATION