IMMEDI-CARE PA (NPI# 1063670578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063670578 |
| Entity Type | Organization |
| Organization Name | IMMEDI-CARE PA |
| Practice Address |
360 Avenue P Fl 3 Newark NJ 07105 |
| Mailing Address |
Po Box 1296 Clifton NJ 07012-0796 |
| Practice Telephone | 9736438383 |
| Practice Fax Number | 9734916099 |
| Mailing Telephone | 9736438383 |
| Mailing Fax Number | 9734916099 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | MS. DIMITRA DENISE PALLIS (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 2018749084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
360 AVENUE P FL 3 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
| 1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
| 1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
| 1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
| 1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
| Find all providers in zip 07105 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1437385952 | Universal Clinic, LLC | Clinic/Center | 99 Madison Street, Newark, NJ 07105 | 2009-06-10 |
| 1770105603 | Jason Sturgeon | Clinic/Center | 1320 W Main St, Newark, OH 43055-1822 | 2020-05-14 |
| 1184174682 | Licking Memorial Health System | Clinic/Center | 1320 W Main St, Newark, OH 43055-1822 | 2016-10-07 |
| 1659727550 | Immedicare | Clinic/Center | 360 Avenue P, 3rd Floor, Newark, NJ 07105-4802 | 2016-05-10 |
| 1194026088 | Anna Marie Sullivan D.o. P.a. | Clinic/Center | 2 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2010-11-08 |
| 1134361132 | Optometric Association of Newark | Clinic/Center | 17 Academy St, Newark, NJ 07102-2923 | 2009-04-06 |
| 1871748574 | Concentra Health Services, Inc. | Clinic/Center | 375 Mccarter Hwy., Newark, NJ 07102-2562 | 2008-11-21 |
| 1700035748 | Concentra Health Services, Inc. | Clinic/Center | 4110 Stanton-ogletown Road, Newark, DE 19713 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082756 | Transformational Healthcare Services | Clinic/Center | 111 Town Square Place, Suite 1203 Pmb 1039, Jersey City, NJ 07310 | 2020-08-04 |
| 1841808102 | Cardiac and Vascular Interventions of New Jersey LLC | Clinic/Center | 303 George St Ste 105, New Brunswick, NJ 08901-2009 | 2020-07-22 |
| 1265059224 | Rhemacare Medicals | Clinic/Center | 1992 Morris Ave # 215, Union, NJ 07083-3507 | 2020-06-25 |
| 1922622554 | Alkindi Medical Consultant | Clinic/Center | 99 Baldwin Pl, Bloomfield, NJ 07003-6030 | 2020-05-29 |
| 1558982439 | Omegahealth LLC | Clinic/Center | 90 E Halsey Rd Ste 333, Parsippany, NJ 07054-3709 | 2020-05-01 |
| 1588298962 | Gen-tel Medicine, LLC | Clinic/Center | The Center for Prevention and Counseling/dr.ganon, 61 Spring Street, First Floor, Newton, NJ 07860 | 2020-02-25 |
| 1134760754 | Medisure Inc. | Clinic/Center | 2310 Inverness Dr, Toms River, NJ 08753-6313 | 2019-10-04 |
| 1477012698 | Health and Integrative Wellness LLC | Clinic/Center | 59 E Mill Rd Ste 201-1, Long Valley, NJ 07853-6215 | 2019-03-18 |
| 1093289852 | Idama Healthcare | Clinic/Center | 4 S Orange Ave Suite 253, South Orange, NJ 07079-1702 | 2019-01-15 |
| 1992278709 | Dr David Bee and Associates LLC | Clinic/Center | 1304 Route 47 Unit M, Rio Grande, NJ 08242-1399 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.