Cape Regional Urgent Care LLC
Organization Active NPI Urgent Care Clinic/Center · Wildwood, NJ
NPI 1134848260 · NPPES record last updated Aug 23, 2022
Key facts
- NPI
- 1134848260
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- CAPE REGIONAL URGENT CARE LLC
- Practice address
- 406 W Rio Grande Ave
Wildwood, NJ 08260-1524 - Phone
- (609) 465-6364
- Fax
- (609) 465-1693
- NPI assigned
- Aug 23, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- CAPE REGIONAL URGENT CARE LLC
Authorized official
- Name
- John S Ruskey
- Title
- Owner
- Phone
- (856) 728-8700
Parent organization (reported in NPPES) 1
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 1
Member of 1
Practitioners 36
-
Richard Henry Altamura, M.D.
-
Kimberly Banfield, D.O.
-
Anthony W Champion Jr., PA-C
-
Robert Cimino, MD
-
Domenic Coletta, MD
-
Reva Dubin, MD
-
Luke Guizlo, PA-C
-
Taylor Hadley, PA
-
Nancy Hawkins, MD
-
Elizabeth Megan Heyer, CRNP
-
Charles Kaczmarski, PA-C
-
Donald Keir, MD
-
Andrea March, PA
-
Victoria Ashley Nicholls, PA-C
-
Richard Nussey, DO
-
Ashley Mary Roncone, PA-C, MS
-
John Ruskey, DO
-
Monika Smith, DO
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2128282 | Cape Regional Urgent Care | Certificate of waiver | Mar 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240418004242 | NJ | DME Supplier - Multi-Specialty - Physician | 5395861728 | Practice locations: Wildwood, NJ |
National Provider Directory
- Tax ID family
- Cape Regional Urgent Care
- Part of
- Cape Regional Urgent Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
406 W Rio Grande Ave
Wildwood, NJ 08260-1524
Mailing address
406 W Rio Grande Ave
Wildwood, NJ 08260-1524
Phone (609) 465-6364
Other names
- Cape Regional Urgent Care
Other providers in Wildwood, NJ
- Back to Health Family Chiropractic
- Andrea Blass
- Cape May County Council on Alcoholism and Drug Abuse Inc
- Cape May County Council on Alcoholism and Drug Abuse Inc.
- Cape May County Council on Alcoholism and Drug Abuse, Inc.
- Caring Inc
- Caring Incorporated
- City of Wildwood
- Community Health Care, Inc.
- Anthony Cortellessa
All providers in Wildwood, NJ · Urgent Care Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.