| Nj 365 Urgent Care Llc | |
|
3250 Nj 27 Suite 102 Kendall Park NJ 08824 | |
| (732) 930-1087 | |
| Not Available |
| Full Name | Nj 365 Urgent Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3250 Nj 27 Suite 102, Kendall Park, New Jersey |
| Authorized Official Name and Position | Jatin K Shah (CO OWNER) |
| Authorized Official Contact | 7324192444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj 365 Urgent Care Llc 3250 State Route 27 Ste 102 Kendall Park NJ 08824-1550 Ph: (732) 419-2444 | Nj 365 Urgent Care Llc 3250 Nj 27 Suite 102 Kendall Park NJ 08824 Ph: (732) 930-1087 |
| NPI Number | 1639870561 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 4082078019 |
|---|---|
| Medicare Enrollment ID | O20230914001219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639870561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Jatin Kantilal Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417201567 PECOS PAC ID: 1456668912 Enrollment ID: I20160714000968 |
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