| Community Urgent Care Nj Pa | |
|
714 Broadway Ste 1 Paterson NJ 07514-3403 | |
| (800) 750-8616 | |
| (845) 362-8474 |
| Full Name | Community Urgent Care Nj Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 714 Broadway Ste 1, Paterson, New Jersey |
| Authorized Official Name and Position | Samuel Preschel (OWNER) |
| Authorized Official Contact | 9177477976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Urgent Care Nj Pa 4403 15th Ave Brooklyn NY 11219-1604 Ph: (845) 362-8400 | Community Urgent Care Nj Pa 714 Broadway Ste 1 Paterson NJ 07514-3403 Ph: (800) 750-8616 |
| NPI Number | 1417580887 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 08/21/2024 |
| Medicare PECOS PAC ID | 9133571656 |
|---|---|
| Medicare Enrollment ID | O20240122000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417580887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Samuel A Preschel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063561413 PECOS PAC ID: 4688635220 Enrollment ID: I20041026000834 |
| Provider Name | Yehoshua Kessin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255801163 PECOS PAC ID: 6507292778 Enrollment ID: I20200206001324 |
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