City Medical of New Jersey, PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CITY MEDICAL OF NEW JERSEY, PC

Practice address

904 Bayonne Crossing Way
Bayonne, NJ 07002-5307

Phone

(201) 354-1957

Fax

(201) 354-1958

NPI assigned

Oct 18, 2016

Organization subpart

Yes

Parent organization

CITY MEDICAL OF NEW JERSEY, PCAs reported in NPPES

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

Authorized official

Name

Dr. Richard Park, M.D.

Title

Ceo

Phone

(516) 783-4600

Specialties & licenses 1

Addresses

Other names 1

• CityMD Urgent Care Doing business as

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

CLIA laboratory certificates

Part of

City Medical of NJ PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• City Medical of New Jersey, PC

  • Urgent Care Clinic/Center
  • Paramus, NJ
  • NPI 1568858686
  NPPES parent name

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1215488952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301",
            "telephone_number": "516-783-4600",
            "fax_number": "646-846-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 BAYONNE CROSSING WAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025307",
            "telephone_number": "201-354-1957",
            "fax_number": "201-354-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY MEDICAL OF NEW JERSEY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY MEDICAL OF NEW JERSEY, PC",
        "enumeration_date": "2016-10-18",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-783-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CityMD Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CityMD Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Christie, RDN
• Da Eun Chung
• Dean Cianciulli, D.C.
• Michelle Ciesla, PA-C
• Suzanne Rose Ciok, PT, DPT
• City of Bayonne
• City Radiology Center LLC
• Cityrx Pharmacy LLC
• Samantha Fennella Clarke
• Kimberly Claudio, LPC

• Urgent Care Clinic/Center in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Urgent Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.