| Urgent Care & Walk-in Medical Suite | |
|
200 Freeway Dr E Ste 305 East Orange NJ 07018 | |
| (973) 370-4000 | |
| (973) 370-4040 |
| Full Name | Urgent Care & Walk-in Medical Suite |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Freeway Dr E Ste 305, East Orange, New Jersey |
| Authorized Official Name and Position | Blimy Jacobs (BILLING & CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 8456622404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care & Walk-in Medical Suite 200 Freeway Dr E Ste 305 East Orange NJ 07018-3809 Ph: (973) 370-4000 | Urgent Care & Walk-in Medical Suite 200 Freeway Dr E Ste 305 East Orange NJ 07018 Ph: (973) 370-4000 |
| NPI Number | 1659882082 |
|---|---|
| Provider Enumeration Date | 10/12/2017 |
| Last Update Date | 12/30/2021 |
| Medicare PECOS PAC ID | 5193063154 |
|---|---|
| Medicare Enrollment ID | O20190218000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659882082 | NPI | - | NPPES |
| 0630390 | Medicaid | NJ |
| Provider Name | Karen M Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093836272 PECOS PAC ID: 7113015322 Enrollment ID: I20071121000122 |
| Provider Name | Arlene L Fredericks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942531645 PECOS PAC ID: 9436284916 Enrollment ID: I20110818000120 |
| Provider Name | Victor Bussangu Yabidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174955744 PECOS PAC ID: 7113157033 Enrollment ID: I20140221001382 |
| Provider Name | Sekuleo Gathers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598842098 PECOS PAC ID: 9032214234 Enrollment ID: I20151221000554 |
| Provider Name | Clemaine C. Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861824773 PECOS PAC ID: 8022233675 Enrollment ID: I20161130001950 |
| Provider Name | Intisar Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912335191 PECOS PAC ID: 3072890086 Enrollment ID: I20170522002830 |
| Provider Name | Nadine A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679006563 PECOS PAC ID: 4385079094 Enrollment ID: I20200127000444 |
| Provider Name | Dawn M Starbinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932879194 PECOS PAC ID: 9436541810 Enrollment ID: I20220114000742 |
| Provider Name | Michelle Portadin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487255766 PECOS PAC ID: 8921494873 Enrollment ID: I20220401002010 |
| Provider Name | Bryce Ratliff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306293261 PECOS PAC ID: 8729355078 Enrollment ID: I20221007002420 |
| Provider Name | Stephanie Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437734290 PECOS PAC ID: 9537539689 Enrollment ID: I20230105001874 |
| Provider Name | Estefany Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700501095 PECOS PAC ID: 7214300508 Enrollment ID: I20230307003392 |
| Provider Name | Jing Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922505056 PECOS PAC ID: 6507244399 Enrollment ID: I20230526001115 |
| Provider Name | Miriam Weitzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104531201 PECOS PAC ID: 3779942602 Enrollment ID: I20230710002504 |
| Provider Name | Patricia Boachie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669164927 PECOS PAC ID: 1254785280 Enrollment ID: I20230926000676 |
United Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 S Harrison St Suite 304, East Orange, NJ 07018 Phone: 862-438-8265 | |
Clinical Consulting Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, East Orange, NJ 07018 Phone: 973-417-6871 | |
Lianmed Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave, Suite 102, East Orange, NJ 07018 Phone: 201-512-9494 | |
East Orange Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 S Munn Ave, East Orange, NJ 07018 Phone: 973-674-8100 Fax: 973-674-8400 | |
Orange Medical Group Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave, Suite 106, East Orange, NJ 07018 Phone: 973-674-4542 Fax: 973-674-3901 | |
A1 Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Central Ave, Suite 310, East Orange, NJ 07018 Phone: 973-678-2900 Fax: 973-678-8183 | |
Warren County Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 613 Park Ave, 2nd Floor, East Orange, NJ 07017 Phone: 973-672-2455 Fax: 973-675-0040 |