NPIMap

Organization Active NPI

Oak Tree Healthcare PA

  • Urgent Care Clinic/Center
  • Belleville, NJ
National Provider Identifier
1083368674
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
OAK TREE HEALTHCARE PA
Practice address
115 Belmont Ave
Belleville, NJ 07109-1993
Phone
(973) 310-7000
Fax
(973) 310-6000
NPI assigned
Feb 11, 2022
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Mr. HR Manager
Title
Manager
Phone
(973) 000-0000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

115 Belmont Ave
Belleville, NJ 07109-1993

Mailing address

115 Belmont Ave
Belleville, NJ 07109-1993
Phone (973) 310-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220311000654 NJ Part B Supplier - Clinic/Group Practice 0941695860 Receives reassigned benefits from 14 practitioners
Practice locations: Belleville, NJ; Fairview, NJ; Perth Amboy, NJ

National Provider Directory

National Provider Directory
Tax ID family
Oak Tree Healthcare PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

378 Bergen Blvd
#100
Fairview, NJ 07022

378 Bergen Blvd
Ste 100
Fairview, NJ 07022
Phone (973) 310-7000

365 Convery Blvd
Ste 15
Perth Amboy, NJ 08861

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1083368674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BELMONT AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091993",
            "telephone_number": "973-310-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BELMONT AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091993",
            "telephone_number": "973-310-7000",
            "fax_number": "973-310-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "MANAGER",
        "authorized_official_first_name": "HR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-000-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.