Organization Active NPI

Parkway Med Urgent Care PC

  • Urgent Care Clinic/Center
  • Paterson, NJ
National Provider Identifier
1003335662
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PARKWAY MED URGENT CARE PC
Practice address
143 W Broadway
Paterson, NJ 07522-2007
Phone
(312) 933-8057
NPI assigned
Sep 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rubaba Hussain, MDNPI 1194913681
Title
MD
Phone
(312) 933-8057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

143 W Broadway
Paterson, NJ 07522-2007

Mailing address

15 Gristmill LN
Upper Saddle River, NJ 07458-1316

Other identifiers 1

IdentifierTypeStateIssuer
1111OtherUCAOA

National Provider Directory

National Provider Directory

Locations

143 W Broadway
Paterson, NJ 07522
Phone (312) 933-8057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1003335662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GRISTMILL LN",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075222007",
            "telephone_number": "312-933-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MED URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "RUBABA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "312-933-8057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCAOA",
            "identifier": "1111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.