NPIMap

Organization Active NPI

American Current Care of New Jersey PA

  • Urgent Care Clinic/Center
  • Pennsauken, NJ
National Provider Identifier
1245408517
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AMERICAN CURRENT CARE OF NEW JERSEY PA
Practice address
7204 North Park Drive
Pennsauken, NJ 08109-4210
Phone
(856) 663-7690
Fax
(856) 663-9269
NPI assigned
Feb 20, 2008
Last updated
Aug 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Dr. Tom Fogarty, MD
Title
Senior VP / Chief Medical Officer
Phone
(972) 364-8103

Specialties & licenses 1

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

Addresses

Primary practice location

7204 North Park Drive
Pennsauken, NJ 08109-4210

Mailing address

5080 Spectrum Drive
Suite 1200 West Tower
Addison, TX 75001-4648
Phone (800) 232-3550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091222000279 NJ Part B Supplier - Clinic/Group Practice 1153461264 Receives reassigned benefits from 77 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elizabeth, NJ; Newark, NJ; Parsippany, NJ; Pennsauken, NJ; Mount Laurel, NJ; Rahway, NJ; Secaucus, NJ; Somerset, NJ…

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory

Locations

7204 N Park Dr
Pennsauken, NJ 08109
Phone (856) 663-7390

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1245408517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DRIVE",
            "address_2": "SUITE 1200 WEST TOWER",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "800-232-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7204 NORTH PARK DRIVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094210",
            "telephone_number": "856-663-7690",
            "fax_number": "856-663-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CURRENT CARE OF NEW JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "SENIOR VP / CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "972-364-8103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.