Organization Active NPI

Metrodoc Healthcare LLC

  • Urgent Care Clinic/Center
  • Perth Amboy, NJ
National Provider Identifier
1255003547
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
METRODOC HEALTHCARE LLC
Practice address
365 Convery Blvd Ste 14
Perth Amboy, NJ 08861-3741
Phone
(973) 310-7000
NPI assigned
Oct 4, 2021
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Mr. Joel Grunwald
Title
Owner
Phone
(973) 310-7000

Specialties & licenses 1

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

Addresses

Primary practice location

365 Convery Blvd Ste 14
Perth Amboy, NJ 08861-3741

Mailing address

365 Convery Blvd Ste 14
Perth Amboy, NJ 08861-3741
Phone (973) 310-7000

National Provider Directory

National Provider Directory

Locations

365 Convery Blvd
Ste 14
Perth Amboy, NJ 08861
Phone (973) 310-7000

365 Convery Blvd
Ste 1B
Perth Amboy, NJ 08861

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1255003547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 CONVERY BLVD STE 14",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613741",
            "telephone_number": "973-310-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 CONVERY BLVD STE 14",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613741",
            "telephone_number": "973-310-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRODOC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "GRUNWALD",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-310-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.