Quickmd Medical Group of NJ PA

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

QUICKMD MEDICAL GROUP OF NJ PA

Practice address

Park 80 West, Plaza II, Suite 200
Saddle Brook, NJ 07663

Phone

(888) 878-4256

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Katrina Merritt

Title

Senior Manager, Credentialing

Phone

(813) 596-5726

Specialties & licenses 4

Addresses

Practitioners 1

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

• Talib N. Omer, M.D., PH.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1396039822
  NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1063140697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 HOLCOMB BRIDGE RD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922205",
            "telephone_number": "888-878-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARK 80 WEST, PLAZA II, SUITE 200",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "07663",
            "telephone_number": "888-878-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICKMD MEDICAL GROUP OF NJ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "SENIOR MANAGER, CREDENTIALING",
        "authorized_official_telephone_number": "813-596-5726"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Occupational & Physical Therapy, PLLC
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• Psychiatry Direct LLC
• PT Worx Physical Therapy and Sports Medicine
• R L Medical LLC
• Anthony Randazzo, D.M.D.
• Renaissance Surgery Center
• Ruth Reyes-Espino
• Ira Rinn, M.A., BCBA

• Addiction Medicine (Psychiatry & Neurology) Physician in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.