MEDEXPRESS URGENT CARE - NORTHERN NEW JERSEY, PC (NPI# 1528476751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528476751 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE - NORTHERN NEW JERSEY, PC |
| Other Organization Name | MEDEXPRESS URGENT CARE - LEDGEWOOD, STATE ROUTE 10 |
| Practice Address |
501 State Route 10 Ledgewood NJ 07852-9667 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 9735846751 |
| Practice Fax Number | 9735846753 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | BRETT GALL (DIRECTOR PAYOR CONTRACTING) |
| Authorized Official Telephone | 3042252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0347116 | 05 |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Ledgewood, State Route 10 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023541026 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 124 Washington Avenue, Nutley, NJ 07110-3502 | 2017-04-06 |
| 1750830030 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 228 Mountain Ave, Hackettstown, NJ 07840-2409 | 2016-09-27 |
| 1467801852 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 118 E Hanover Avenue, Cedar Knolls, NJ 07927-2007 | 2016-06-07 |
| 1326472986 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 184 Essex St, Space F1, Lodi, NJ 07644-2707 | 2013-08-30 |
| 1669805016 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 200 Us Highway 22, Springfield, NJ 07081-3123 | 2013-08-20 |
| 1497188841 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 225 Us Highway 46, Suite A, Totowa, NJ 07512-1817 | 2013-08-20 |
| 1821439761 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 418 State Route 18, East Brunswick, NJ 08816-2303 | 2013-07-08 |
| 1265912703 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 346 Route 46, Rockaway, NJ 07866-9998 | 2018-08-15 |
| 1487185369 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 415 W Saint Georges Ave, Linden, NJ 07036-5641 | 2017-03-23 |
| 1407398555 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 135 Bloomfield Ave, Bloomfield, NJ 07003-5902 | 2016-11-07 |
| Street Address |
501 STATE ROUTE 10 |
| City | LEDGEWOOD |
| State | NJ |
| Zip Code | 07852-9667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296174 | Gianna Andreotta | Physician Assistant | 501 State Route 10, Ledgewood, NJ 07852-9667 | 2019-10-14 |
| 1205485455 | Dana Golder | Nurse Practitioner | 501 State Route 10, Ledgewood, NJ 07852-9667 | 2019-09-10 |
| 1851771695 | Lindsey Roessler | Physician Assistant | 501 State Route 10, Ledgewood, NJ 07852-9667 | 2015-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396677 | Shivaniben Shah | Pharmacist | 461 Rt 10 A100, Ledgewood, NJ 07852 | 2020-11-06 |
| 1730798851 | Wal-mart Stores East, Lp | Technician/Technologist | 461 Rt 10 Suite A100, Ledgewood, NJ 07852 | 2020-07-24 |
| 1700262466 | Danielle Gaeta | Optometrist | 410 State Route 10 West, Suite 202, Ledgewood, NJ 07852 | 2015-08-05 |
| 1639550551 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Woods Edge Dr, Ledgewood, NJ 07852 | 2015-06-16 |
| 1407190523 | Ryan Mark Stenvall | Dentist | 410 Route 10 West, Suite 209, Ledgewood, NJ 07852 | 2012-11-15 |
| 1194020834 | Wanda Ivette Lopez-rodriguez | Nurse Practitioner | 1105 Route 46, Ledgewood, NJ 07852 | 2011-01-11 |
| 1285949750 | Walter Beckford Od | Optometrist | 461 Route 10 Suite 29, Ledgewood, NJ 07852 | 2010-08-09 |
| 1558537233 | Leonard J. Grossman. Md | Exclusive Provider Organization | 1911 Route 46, Ledgewood, NJ 07852 | 2008-05-02 |
| 1164520987 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1105 Rte 46, Ledgewood, NJ 07852 | 2006-09-20 |
| 1548275530 | Walgreen Co | Pharmacy | 1131 Route 46, Ledgewood, NJ 07852 | 2006-07-29 |
| Find all providers in zip 07852 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1679172795 | Urgent Care Xpress Nj | Clinic/Center | 205 Glassworks Blvd, Cliffwood, NJ 07721-1324 | 2020-10-20 |
| 1679185904 | Md1 Medical Care, P.C. | Clinic/Center | 55 Lane Rd Ste 300, Fairfield, NJ 07004-1015 | 2020-08-18 |
| 1699305938 | Your Kids Urgent Care | Clinic/Center | 1286 Springfield Ave, New Providence, NJ 07974-2901 | 2020-01-24 |
| 1487205936 | Urgent Care of Nj | Clinic/Center | 2690 Woodbridge Ave, Edison, NJ 08837-3604 | 2019-09-26 |
| 1932762994 | Town Doctors LLC | Clinic/Center | 285 Kinderkamack Rd, Oradell, NJ 07649-2101 | 2019-04-16 |
| 1285192625 | Central Jersey Urgent Care | Clinic/Center | 142 Highway 35 Ste 103, Eatontown, NJ 07724-1864 | 2019-03-05 |
| 1710454442 | Urgent Ortho Care | Clinic/Center | 403 Grand Ave, Englewood, NJ 07631-4104 | 2018-10-31 |
| 1053896167 | City Medical of New Jersey, PC | Clinic/Center | 340 Grove St, Jersey City, NJ 07302-5905 | 2018-09-25 |
| 1780163923 | American Current Care of New Jersey, P.a. | Clinic/Center | 2542 Brunswick Pike, Lawrenceville, NJ 08648-4103 | 2018-08-08 |
| 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.