MD1 MEDICAL CARE, P.C. (NPI# 1679185904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679185904 |
Entity Type | Organization |
Organization Name | MD1 MEDICAL CARE, P.C. |
Practice Address |
55 Lane Rd Ste 300 Fairfield NJ 07004-1015 |
Practice Telephone | 3479035933 |
Practice Fax Number | 3107335689 |
Mailing Telephone | 3479035933 |
Mailing Fax Number | 3107335689 |
Enumeration Date | 2020-08-18 |
Last Update Date | 2020-10-07 |
Authorized Official Name | MICHAEL S WITKOWSKI (CHIEF COMPLIANCE OFFICER) |
Authorized Official Telephone | 3479035933 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
35 W 35th St Fl 5, New York, NY 100012205 | 3479035933 | 3107335933 |
453 Robinson Ave, Newburgh, NY 125503340 | 3479035933 | 3107335933 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | MD1 Medical Care, P.C. | 1 Pebble Beach Dr, Livingston, NJ 07039 |
Street Address |
55 LANE RD STE 300 |
City | FAIRFIELD |
State | NJ |
Zip Code | 07004-1015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538768239 | Md1, Inc | Emergency Medicine | 55 Lane Rd Ste 300, Fairfield, NJ 07004-1015 | 2020-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
1285111864 | Advance Home Physical Therapy LLC | Physical Therapist | 9 Belair Dr, Fairfield, NJ 07004 | 2018-07-25 |
1063808962 | Homecare Rx Inc. | Pharmacy | 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 | 2015-04-08 |
1336544832 | Villo' Fiddler | Pharmacist | 632 Rt. 46 East, Fairfield, NJ 07004 | 2014-10-27 |
1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
1386905529 | Med Life LLC | Ambulance | 295 Route 46 West, Suite 201, Fairfield, NJ 07004 | 2012-06-05 |
1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
1447529425 | Yelena Daysudov | Pharmacist | 180 Passaic Avenue, Fairfield, NJ 07004 | 2011-12-21 |
Find all providers in zip 07004 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861949307 | Medrite Medical PC | Clinic/Center | 393 Mulberry St., Newark, NJ 07102 | 2016-09-01 |
1144386939 | Emergency Medical Associates | Clinic/Center | 143 Arlington Drive, Fords, NJ 08863 | 2006-12-28 |
1477927754 | Prohealth Urgent Care Medicine of New Jersey LLP | Clinic/Center | 461 River Rd, Edgewater, NJ 07020-1145 | 2015-11-24 |
1114347192 | Daniel D. Kim, D.d.s., LLC | Clinic/Center | 321 Broad Ave, #5, Ridgefield, NJ 07657-2346 | 2014-04-17 |
1164738068 | Gemcare Medical Centers, LLC | Clinic/Center | 1750 Cedar Bridge Ave, Lakewood, NJ 08701-6921 | 2010-08-30 |
1861639981 | Metro Medical Associates LLC | Clinic/Center | 870 Green St, Metro Medical Associates.llc, Iselin, NJ 08830-2102 | 2009-01-12 |
1205007622 | Peninsula Emergency Associates Pa | Clinic/Center | 29 E 29th St, Bayonne, NJ 07002-4654 | 2008-03-13 |
1619062015 | Us Coast Guard | Clinic/Center | 1 Munro Ave, Cape May, NJ 08204-5000 | 2006-10-03 |
1386746592 | Kennedy University Hospital Inc. | Clinic/Center | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2006-09-01 |
1194761502 | Bayonne Emergency Assoc LLC | Clinic/Center | 29 East 29th Street, Bayonne, NJ 07002 | 2006-06-22 |
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.