JAGTIANI URGENT& PRIMARY CARE, LLC (NPI# 1487603163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487603163 |
| Entity Type | Organization |
| Organization Name | JAGTIANI URGENT& PRIMARY CARE, LLC |
| Practice Address |
297 S Washington Ave Suite # 1 Bergenfield NJ 07621-3789 |
| Practice Telephone | 2013870087 |
| Practice Fax Number | 2013872232 |
| Mailing Telephone | 2013870087 |
| Mailing Fax Number | 2013872232 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. RAJA KISHINCHAND JAGTIANI (MEMBER) |
| Authorized Official Telephone | 2013870087 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
========= | NJ | Ambulatory Health Care Facilities |
| Street Address |
297 S WASHINGTON AVE SUITE # 1 |
| City | BERGENFIELD |
| State | NJ |
| Zip Code | 07621-3789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659320281 | Raja Kishinchand Jagtiani | Internal Medicine | 297 S Washington Ave, Suite # 1, Bergenfield, NJ 07621-3789 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952115 | Sublime Therapy | Massage Therapist | 80 N Washington Ave, Unite L4, Bergenfield, NJ 07621 | 2018-08-15 |
| 1619487824 | Perseverance A Okai Adjetey | Registered Nurse | 23 Lake Street, Bergenfield, NJ 07621 | 2017-10-03 |
| 1285144469 | Stacie Lynn Morvay | Nurse Practitioner | 129 Liberty Rd Apt B, Bergenfield, NJ 07621 | 2017-10-02 |
| 1295254308 | Keren Nussbaum | Speech-Language Pathologist | 60 Glenwood Drive S, Bergenfield, NJ 07621 | 2017-09-11 |
| 1538608450 | Lcn Medical Group | Internal Medicine | 136 N. Washington Ave. Suite 201, Bergenfield, NJ 07621 | 2017-02-13 |
| 1154782969 | Martine Meleance | Counselor | 386 West Main St, Berganfield, NJ 07621 | 2016-03-08 |
| 1609257591 | Maria C. Stone, Lcsw, LLC | Social Worker | 29 Legion Drive, Bergenfield, NJ 07621 | 2015-06-16 |
| 1003219536 | Ismile Dental Associates | Dentist | 22 N Washington Ave., Bergenfield, NJ 07621 | 2014-09-29 |
| 1710399415 | Maria Rena Penecilla | Registered Nurse | 74 Madison Ave, Bergenfield, NJ 07621 | 2014-05-29 |
| 1619394954 | Russell L Sadang | Physical Therapist | 103 Carnation St, Bergenfield, NJ 07621 | 2014-03-25 |
| Find all providers in zip 07621 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720105828 | Bergenfield Internal Medicine, L.L.C. | Clinic/Center | 161- A North Washington Ave., Bergenfield, NJ 07646-1739 | 2007-03-23 |
| 1083045694 | Am/pm Primary Care | Clinic/Center | 19 S Washington Ave, Bergenfield, NJ 07621-2324 | 2013-12-06 |
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| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | BERGENFIELD |
| Zip Code | 07621 |
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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.