MD1 MEDICAL CARE, P.C.


Address: 55 Lane Rd Ste 300, Fairfield, NJ 07004-1015
Phone: 3479035933

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

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

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities MD1 Medical Care, P.C. 1 Pebble Beach Dr, Livingston, NJ 07039

Office Location

Street Address 55 LANE RD STE 300
City FAIRFIELD
State NJ
Zip Code 07004-1015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538768239 Md1, Inc Emergency Medicine 55 Lane Rd Ste 300, Fairfield, NJ 07004-1015 2020-10-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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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
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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
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Taxonomy Information

Taxonomy Code 261QE0002X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Emergency Care

Taxonomy Definition

Definition to come...

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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
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1386746592 Kennedy University Hospital Inc. Clinic/Center 18 E Laurel Rd, Stratford, NJ 08084-1327 2006-09-01
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Competitor

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City FAIRFIELD
Zip Code 07004

Improve Information

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Dataset Information

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.

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