Organization Active NPI

Am PM Walk in Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Bergenfield, NJ
National Provider Identifier
1073853859
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
25MA06949100 Issued in NJ
Legal business name
AM PM WALK IN URGENT CARE CLINIC
Practice address
19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone
(201) 923-1177
Fax
(417) 429-2893
NPI assigned
Feb 15, 2013
Last updated
Apr 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Wesley K Thek, MDNPI 1275562837
Title
Owner/Ceo
Phone
(201) 387-0177

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 25MA06949100 NJ Primary

Addresses

Primary practice location

19 S Washington Ave
Bergenfield, NJ 07621-2324

Mailing address

19 S Washington Ave
Bergenfield, NJ 07621-2324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130611000675 NJ Part B Supplier - Clinic/Group Practice 5092954602 Receives reassigned benefits from 91 practitioners
Practice locations: Englewood, NJ; Teaneck, NJ; Norwood, NJ; North Bergen, NJ; Jersey City, NJ; Fair Lawn, NJ; Cliffside Park, NJ; Bergenfield, NJ…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2056988Am/PM Walk-in Urgent Care Clinic19 South Washington Avenue, Bergenfield, NJ 07621Certificate of waiverApr 7, 2027

National Provider Directory

National Provider Directory

Locations

49 W Allendale Ave
Ste 4
Allendale, NJ 07401
Phone (201) 340-6052

19 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 387-0177

16 Depot Sq
Englewood, NJ 07631

16 Depot Sq
Ste 1A
Englewood, NJ 07631
Phone (551) 501-1100

21-20 Broadway
Fair Lawn, NJ 07410
Phone (551) 444-6010

521 Livingston St
Ste 116
Norwood, NJ 07648
Phone (201) 267-6600

585 Cedar Ln
Teaneck, NJ 07666

587 Cedar Ln
Teaneck, NJ 07666
Phone (201) 387-0177

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1073853859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212324",
            "telephone_number": "201-923-1177",
            "fax_number": "417-429-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM PM WALK IN URGENT CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "THEK",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "201-387-0177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NJ",
            "license": "25MA06949100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.